Chamberlain Counseling Services Llc | |
79321 Diamondhead Dr E Diamondhead MS 39525-3544 | |
(601) 850-8663 | |
Not Available |
Full Name | Chamberlain Counseling Services Llc |
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Speciality | Counselor - Professional |
Location | 79321 Diamondhead Dr E, Diamondhead, Mississippi |
Authorized Official Name and Position | Walter G Chamberlain (CEO) |
Authorized Official Contact | 6048508663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chamberlain Counseling Services Llc 79321 Diamondhead Dr E Diamondhead MS 39525-3544 Ph: (601) 850-8663 | Chamberlain Counseling Services Llc 79321 Diamondhead Dr E Diamondhead MS 39525-3544 Ph: (601) 850-8663 |
NPI Number | 1619373099 |
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Provider Enumeration Date | 11/12/2014 |
Last Update Date | 11/12/2014 |
Identifier | Type | State | Issuer |
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1619373099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1548 (Mississippi) | Primary |
103K00000X | Behavior Analyst | 1-11-9380 (* (Not Available)) | Secondary |
Cornelia Swayze, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4423 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-363-2211 Fax: 228-255-6494 | |
Mary R. Stock, Phd, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4423 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-216-0130 |