Individual
MRS. CHANDRA R SUMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8237B OKATIBBEE DAM RD, COLLINSVILLE, MS 39325-8935
(601) 480-6232
(326) 777-8208
Mailing address
2208 HIGHWAY 39 N, MERIDIAN, MS 39301-2605
(601) 482-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0890
MS
163W00000X
Registered Nurse
1-152564
AL
163W00000X
Registered Nurse
R886070
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-152564
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R886070
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0890
LICENSED
MS
05
—
09532822
—
MS
Enumeration date
03/29/2007
Last updated
01/12/2026
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