Individual
DR. TINA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
114 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5104
(601) 653-4581
(601) 653-4582
Mailing address
55 SERGEANT PRENTISS DR, STE 102, NATCHEZ, MS 39120-4791
(601) 653-4581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
5910
LA
101YM0800X
Mental Health Counselor
83432
TX
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/28/2011
Last updated
06/23/2025
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