| The Clinic, Therapy & Consulting Llc | |
|
12337 Ashley Dr Ste C Gulfport MS 39503-2753 | |
| (601) 460-0191 | |
| (601) 336-0968 |
| Full Name | The Clinic, Therapy & Consulting Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12337 Ashley Dr Ste C, Gulfport, Mississippi |
| Authorized Official Name and Position | Wendi Wood (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6014600191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Clinic, Therapy & Consulting Llc Po Box 2582 Gulfport MS 39505-2582 Ph: (601) 460-0191 | The Clinic, Therapy & Consulting Llc 12337 Ashley Dr Ste C Gulfport MS 39503-2753 Ph: (601) 460-0191 |
| NPI Number | 1184108276 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 10/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184108276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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