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

Boston Bailey, PCCSS

Individual provider Counselor · NPI 1629843453

Boston Bailey, PCCSS is a Counselor in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2023.

Licensed in
MS
In the registry since
2023

Practice location Address checks out

103 S 19th Ave
Hattiesburg, MS 39401-6171
Phone: (601) 544-4641
Fax: (601) 582-1907
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 4000 (MS)

Record details

NPI number1629843453
Entity typeIndividual (Type 1)
GenderMale
Credentials PCCSS
Sole proprietorNo
NPI enumeratedNovember 21, 2023
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing addressPo Box 18679, Hattiesburg, MS 39404-8679

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