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

Mrs. Triva Watts Sanders, CRC, CCSCC

Individual provider Pastoral Counselor · NPI 1457202210

Mrs. Triva Watts Sanders, CRC, CCSCC is a Pastoral Counselor in Vicksburg, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
9

Practice location Address checks out

718 Bowmar Ave
Vicksburg, MS 39180-4603
Phone: (850) 363-0012
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Pastoral Counselor Taxonomy 101YP1600X
Clinical Social Worker Taxonomy 1041C0700X
Physical Therapist Taxonomy 225100000X
Massage Therapist Taxonomy 225700000X
Rehabilitation Counselor Taxonomy 225C00000X
Occupational Therapist Taxonomy 225X00000X
Nursing Care Agency Taxonomy 251J00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1457202210
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRC , CCSCC
Sole proprietorYes
NPI enumeratedFebruary 6, 2026
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026