| Nool Counseling Center, Pllc | |
|
516 W Laurel Ave Hattiesburg MS 39401-3503 | |
| (601) 606-0561 | |
| Not Available |
| Full Name | Nool Counseling Center, Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 516 W Laurel Ave, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Ashlie Swindol West (OWNER/CLINICIAN) |
| Authorized Official Contact | 6016060561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nool Counseling Center, Pllc 516 W Laurel Ave Hattiesburg MS 39401-3503 Ph: (601) 606-0561 | Nool Counseling Center, Pllc 516 W Laurel Ave Hattiesburg MS 39401-3503 Ph: (601) 606-0561 |
| NPI Number | 1992290522 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992290522 | NPI | - | NPPES |
| 003270207 | Medicaid | MS |
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