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

Lycedia Gasaway

Individual provider Professional Counselor · NPI 1467293845

Lycedia Gasaway is a Professional Counselor in Tupelo, Mississippi. Practices as a sole proprietor. Licensed in Georgia and Mississippi.

Licensed in
GA, MS
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1967 Emily St
Tupelo, MS 38804-8024
Phone: (662) 760-7963
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2004 (MS)
Professional Counselor Taxonomy 101YP2500X · Licence 010239 (GA)

Record details

NPI number1467293845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 1, 2024
Last updated in NPPESJune 1, 2024
Certification dateJune 1, 2024
Mailing address1967 Emily St, Tupelo, MS 38804-8024

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