| Passionate Living Counseling | |
|
1755 Lelia Dr Ste 105 Jackson MS 39216-4828 | |
| (601) 925-0707 | |
| Not Available |
| Full Name | Passionate Living Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1755 Lelia Dr Ste 105, Jackson, Mississippi |
| Authorized Official Name and Position | Philip Hardin (MAIN COUNSELOR/THERAPIST) |
| Authorized Official Contact | 6019250707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passionate Living Counseling 1755 Lelia Dr Ste 105 Jackson MS 39216-4828 Ph: (601) 925-0707 | Passionate Living Counseling 1755 Lelia Dr Ste 105 Jackson MS 39216-4828 Ph: (601) 925-0707 |
| NPI Number | 1023575347 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 02/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023575347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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