| Intentional Minded Counseling & Consulting Llc | |
|
201 Highway 51 Suite B Ridgeland MS 39157 | |
| (601) 519-1011 | |
| (601) 822-6009 |
| Full Name | Intentional Minded Counseling & Consulting Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 201 Highway 51 Suite B, Ridgeland, Mississippi |
| Authorized Official Name and Position | Robert Lock (CO-OWNER) |
| Authorized Official Contact | 6015191011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Minded Counseling & Consulting Llc 201 Highway 51, Suite B Ridgeland MS 39157 Ph: (601) 519-1011 | Intentional Minded Counseling & Consulting Llc 201 Highway 51 Suite B Ridgeland MS 39157 Ph: (601) 519-1011 |
| NPI Number | 1114608080 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114608080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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