| Bruno Counseling And Consulting Services, Llc | |
|
110 W Erlanger St Poplarville MS 39470-3009 | |
| (601) 746-5125 | |
| (844) 348-9002 |
| Full Name | Bruno Counseling And Consulting Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 110 W Erlanger St, Poplarville, Mississippi |
| Authorized Official Name and Position | Darryl Wayne Bruno (OWNER) |
| Authorized Official Contact | 6017465125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruno Counseling And Consulting Services, Llc 110 W Erlanger St Poplarville MS 39470-3009 Ph: (601) 746-5125 | Bruno Counseling And Consulting Services, Llc 110 W Erlanger St Poplarville MS 39470-3009 Ph: (601) 746-5125 |
| NPI Number | 1922492321 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 0749500767 |
|---|---|
| Medicare Enrollment ID | O20150514001934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922492321 | NPI | - | NPPES |
| 05239528 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C8179 (Mississippi) | Primary |
| Provider Name | Darryl Wayne Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710072178 PECOS PAC ID: 4486974409 Enrollment ID: I20150514001925 |
| Provider Name | Torey P Lamothe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245663343 PECOS PAC ID: 2365894797 Enrollment ID: I20240122000581 |
| Provider Name | Laura Leigh Gillissie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922875624 PECOS PAC ID: 1557899796 Enrollment ID: I20250115001992 |
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