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

Fpc Intensive Outpatient Program

Organization Addiction (Substance Use Disorder) Counselor · NPI 1306572235

Fpc Intensive Outpatient Program is an Addiction (Substance Use Disorder) Counselor in Tupelo, Mississippi. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

210 E Main St Ste 2C
Tupelo, MS 38804-4017
Phone: (662) 760-0052
Fax: (662) 495-4080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1306572235
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFair Park Counseling PLLC
Authorized official Madison Ashby — Administrative Assistant · (662) 871-6657
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 13, 2022
Mailing address210 E Main St Ste 2c, Tupelo, MS 38804-4017

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