| Emotionally Available Counseling | |
|
8830 Centre St Ste 2 Southaven MS 38671-2609 | |
| (901) 308-7155 | |
| (662) 528-4745 |
| Full Name | Emotionally Available Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 8830 Centre St Ste 2, Southaven, Mississippi |
| Authorized Official Name and Position | Jamieka Ebon Harris (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6624041429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emotionally Available Counseling 1867 Amhurst Cv Southaven MS 38671-5133 Ph: (901) 308-7155 | Emotionally Available Counseling 8830 Centre St Ste 2 Southaven MS 38671-2609 Ph: (901) 308-7155 |
| NPI Number | 1932883600 |
|---|---|
| Provider Enumeration Date | 06/13/2023 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Medicare PECOS PAC ID | 6406209816 |
|---|---|
| Medicare Enrollment ID | O20240201000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932883600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jamieka Ebon Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629425517 PECOS PAC ID: 7214380625 Enrollment ID: I20240201000117 |
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