| Prosperity Counseling Service Llc | |
|
2627 Ridgewood Rd Ste 103 Jackson MS 39216-4904 | |
| (601) 942-1884 | |
| Not Available |
| Full Name | Prosperity Counseling Service Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2627 Ridgewood Rd, Jackson, Mississippi |
| Authorized Official Name and Position | Tanya Larry (OWNER) |
| Authorized Official Contact | 6019421884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperity Counseling Service Llc 252 Callaway Cir Byram MS 39272-4521 Ph: (601) 942-1884 | Prosperity Counseling Service Llc 2627 Ridgewood Rd Ste 103 Jackson MS 39216-4904 Ph: (601) 942-1884 |
| NPI Number | 1700319068 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700319068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T0442 (Mississippi) | Primary |
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