| Professional Counseling Pllc | |
|
190 W South St Hernando MS 38632-2245 | |
| (901) 871-9062 | |
| Not Available |
| Full Name | Professional Counseling Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 190 W South St, Hernando, Mississippi |
| Authorized Official Name and Position | Deborah Wilson (MANAGER) |
| Authorized Official Contact | 9018719062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Pllc 1737 Sandpiper Cv S Hernando MS 38632-1631 Ph: (901) 871-9062 | Professional Counseling Pllc 190 W South St Hernando MS 38632-2245 Ph: (901) 871-9062 |
| NPI Number | 1134581028 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134581028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0837 (Mississippi) | Primary |
| 251S00000X | Community/behavioral Health | P0510066 (Arkansas) | Secondary |
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