| Black Sheep Counseling, Llc | |
|
302 S Spring St Ste 9 Tupelo MS 38804-4853 | |
| (662) 523-3315 | |
| Not Available |
| Full Name | Black Sheep Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 302 S Spring St Ste 9, Tupelo, Mississippi |
| Authorized Official Name and Position | Brooklyn Michelle Sellers (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6625233315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Sheep Counseling, Llc 642 Allen St Tupelo MS 38804-3741 Ph: (662) 523-3315 | Black Sheep Counseling, Llc 302 S Spring St Ste 9 Tupelo MS 38804-4853 Ph: (662) 523-3315 |
| NPI Number | 1891412151 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891412151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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