Provider Demographics
NPI:1548347131
Name:FURR, WILLIAM HUGH JR (LPC, LMFT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HUGH
Last Name:FURR
Suffix:JR
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 LAKELAND DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-5000
Mailing Address - Country:US
Mailing Address - Phone:601-362-3583
Mailing Address - Fax:601-981-0910
Practice Address - Street 1:1991 LAKELAND DR
Practice Address - Street 2:SUITE E
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-5000
Practice Address - Country:US
Practice Address - Phone:601-362-3583
Practice Address - Fax:601-981-0910
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST0115106H00000X
MS042101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
252519OtherCOMPSYCH
534542OtherVALUE OPTIONS