Provider Demographics
NPI:1144095282
Name:TUTOR, BELINDA SUSAN (LPC)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:SUSAN
Last Name:TUTOR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 E MAIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38804-4037
Mailing Address - Country:US
Mailing Address - Phone:662-322-3667
Mailing Address - Fax:
Practice Address - Street 1:225 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-4007
Practice Address - Country:US
Practice Address - Phone:662-322-3667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3023101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health