Individual
BROOKLEE LIGHTSEY TYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
102 MEDICAL PARK STE B, HATTIESBURG, MS 39401-9080
(601) 261-1650
Mailing address
143 DOVE HOLW, PETAL, MS 39465-7800
(601) 543-3008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
631171
MS
103TC0700X
Clinical Psychologist
631171
MS
Other
Enumeration date
07/06/2016
Last updated
07/29/2025
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