| Providence Counseling Service, Llc | |
|
2508 Lakeland Dr Suite 200 Flowood MS 39232-9502 | |
| (601) 664-0455 | |
| Not Available |
| Full Name | Providence Counseling Service, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2508 Lakeland Dr, Flowood, Mississippi |
| Authorized Official Name and Position | Steven M. Bishop (PRESIDENT) |
| Authorized Official Contact | 6012786789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Counseling Service, Llc 1217 Pineview Dr Clinton MS 39056-3539 Ph: (601) 278-6789 | Providence Counseling Service, Llc 2508 Lakeland Dr Suite 200 Flowood MS 39232-9502 Ph: (601) 664-0455 |
| NPI Number | 1912194903 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912194903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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