| Chamberlain Counseling Services Llc | |
|
79321 Diamondhead Dr E Diamondhead MS 39525-3544 | |
| (601) 850-8663 | |
| Not Available |
| Full Name | Chamberlain Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 79321 Diamondhead Dr E, Diamondhead, Mississippi |
| Authorized Official Name and Position | Walter G Chamberlain (CEO) |
| Authorized Official Contact | 6048508663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chamberlain Counseling Services Llc 79321 Diamondhead Dr E Diamondhead MS 39525-3544 Ph: (601) 850-8663 | Chamberlain Counseling Services Llc 79321 Diamondhead Dr E Diamondhead MS 39525-3544 Ph: (601) 850-8663 |
| NPI Number | 1619373099 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619373099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-11-9380 (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 1548 (Mississippi) | Primary |
Cornelia Swayze, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4423 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-363-2211 Fax: 228-255-6494 | |
Mary R. Stock, Phd, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4423 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-216-0130 |