Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fair Park Counseling PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1730661331

Fair Park Counseling PLLC is an Addiction (Substance Use Disorder) Counselor in Tupelo, Mississippi. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 E Main St Ste 2C
Tupelo, MS 38804-4017
Phone: (662) 760-0052
Fax: (662) 495-4080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1730661331
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Ferguson — Ceo · (662) 760-0052
NPI enumeratedAugust 30, 2018
Last updated in NPPESNovember 7, 2021
Certification dateNovember 4, 2021
Mailing address210 E Main St Ste 2c, Tupelo, MS 38804-4017

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