Provider Demographics
NPI:1710051974
Name:EUTO, JEWEL ELIZABETH BISHOP (ND,)
Entity type:Individual
Prefix:DR
First Name:JEWEL
Middle Name:ELIZABETH BISHOP
Last Name:EUTO
Suffix:
Gender:F
Credentials:ND,
Other - Prefix:MRS
Other - First Name:JEWEL
Other - Middle Name:ELIZABETH BISHOP
Other - Last Name:EUTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:7421 FISH HAWK RD
Mailing Address - Street 2:
Mailing Address - City:GAUTIER
Mailing Address - State:MS
Mailing Address - Zip Code:39553-2711
Mailing Address - Country:US
Mailing Address - Phone:256-309-7558
Mailing Address - Fax:888-664-5721
Practice Address - Street 1:7421 FISH HAWK RD
Practice Address - Street 2:
Practice Address - City:GAUTIER
Practice Address - State:MS
Practice Address - Zip Code:39553-2711
Practice Address - Country:US
Practice Address - Phone:256-309-7558
Practice Address - Fax:888-664-5721
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
ALLMFT#061101YM0800X
ALLPC#1208101YM0800X, 101YM0800X
MS2740101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALLMFT #061OtherMARRIAGE & FAMILY
ND100197OtherDOCTOR OF NEDICINE
ALLPC #1208OtherMENTAL HEALTH
DCNMD #1000348OtherNATUROPATHIC