| Change Happens Counseling Center, Llc | |
|
110 Cypress Rd Byram MS 39272-6046 | |
| (601) 316-0951 | |
| Not Available |
| Full Name | Change Happens Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 110 Cypress Rd, Byram, Mississippi |
| Authorized Official Name and Position | Tissan Jackson (OWNER) |
| Authorized Official Contact | 6013160951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Happens Counseling Center, Llc 110 Cypress Rd Byram MS 39272-6046 Ph: (601) 316-0951 | Change Happens Counseling Center, Llc 110 Cypress Rd Byram MS 39272-6046 Ph: (601) 316-0951 |
| NPI Number | 1154700748 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154700748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | M7339 (Mississippi) | Primary |
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