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

Evelyn O Madiebo, CMHT

Individual provider Mental Health Counselor · NPI 1134705288

Evelyn O Madiebo, CMHT is a Mental Health Counselor in Brandon, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2021

Practice location Address checks out

613 Marquette Rd
Brandon, MS 39042-3038
Phone: (601) 825-8800
Fax: (601) 824-0349
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CMHT1639 (MS)

Record details

NPI number1134705288
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMHT
Sole proprietorYes
NPI enumeratedMarch 19, 2021
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

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