| Healing Minds Counseling Center Llc | |
|
315 Highway 80 E Clinton MS 39056-4717 | |
| (601) 488-4852 | |
| (601) 488-4091 |
| Full Name | Healing Minds Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 315 Highway 80 E, Clinton, Mississippi |
| Authorized Official Name and Position | Lashundra Clark (OWNER/CEO) |
| Authorized Official Contact | 6014884852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Minds Counseling Center Llc 315 Highway 80 E Clinton MS 39056-4717 Ph: (601) 488-4852 | Healing Minds Counseling Center Llc 315 Highway 80 E Clinton MS 39056-4717 Ph: (601) 488-4852 |
| NPI Number | 1619545621 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619545621 | NPI | - | NPPES |
| 07578542 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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