| Rivertree Counseling Associates Llc | |
|
134 Fairmont St Ste B Clinton MS 39056-4739 | |
| (601) 670-6444 | |
| Not Available |
| Full Name | Rivertree Counseling Associates Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 134 Fairmont St Ste B, Clinton, Mississippi |
| Authorized Official Name and Position | Lacy Lacy Deese (OWNER/MANAGER) |
| Authorized Official Contact | 6016706444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivertree Counseling Associates Llc 804 E Leake St Clinton MS 39056-4325 Ph: (601) 670-6444 | Rivertree Counseling Associates Llc 134 Fairmont St Ste B Clinton MS 39056-4739 Ph: (601) 670-6444 |
| NPI Number | 1124742705 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124742705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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