| Resilient Life Counseling Services | |
|
1014 N Jackson St Ste F Starkville MS 39759-2211 | |
| (662) 617-0202 | |
| (662) 796-6679 |
| Full Name | Resilient Life Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 1014 N Jackson St Ste F, Starkville, Mississippi |
| Authorized Official Name and Position | William K Sansing (OWNER) |
| Authorized Official Contact | 6626170202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Life Counseling Services Po Box 1673 Starkville MS 39760-1673 Ph: (662) 617-0202 | Resilient Life Counseling Services 1014 N Jackson St Ste F Starkville MS 39759-2211 Ph: (662) 617-0202 |
| NPI Number | 1477314094 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/20/2024 |
| Medicare PECOS PAC ID | 6709223399 |
|---|---|
| Medicare Enrollment ID | O20240319000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477314094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | William Kenneth Sansing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932589330 PECOS PAC ID: 7517304108 Enrollment ID: I20240319000597 |
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