| New Light Couseling | |
|
302 S Spring St Ste A Tupelo MS 38804-4853 | |
| (662) 401-6547 | |
| (662) 841-8021 |
| Full Name | New Light Couseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 302 S Spring St Ste A, Tupelo, Mississippi |
| Authorized Official Name and Position | Mark Russell (OWNER) |
| Authorized Official Contact | 6624016457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Light Couseling 302 S Spring St Ste A Tupelo MS 38804-4853 Ph: (662) 401-6547 | New Light Couseling 302 S Spring St Ste A Tupelo MS 38804-4853 Ph: (662) 401-6547 |
| NPI Number | 1568182673 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568182673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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