| Ebullience Counseling | |
|
501 Avalon Way Ste D Brandon MS 39047-7500 | |
| (601) 874-3340 | |
| (601) 494-3241 |
| Full Name | Ebullience Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 501 Avalon Way Ste D, Brandon, Mississippi |
| Authorized Official Name and Position | Erica Ashley Brumfield (OWNER, OPERATOR) |
| Authorized Official Contact | 6018743340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebullience Counseling Po Box 68375 Jackson MS 39286-8375 Ph: (601) 874-3340 | Ebullience Counseling 501 Avalon Way Ste D Brandon MS 39047-7500 Ph: (601) 874-3340 |
| NPI Number | 1326866120 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326866120 | NPI | - | NPPES |
| 009356703 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Gray Matters Integrative Psychology, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 279 Fox Run Rd, Brandon, MS 39047 Phone: 601-376-9370 | |
Madison Rankin Simpson Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 613 Marquette Road, Brandon, MS 39042 Phone: 601-824-0342 Fax: 601-824-0349 | |
Kidz Konnections Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Avalon Way, Apt 313, Brandon, MS 39047 Phone: 404-279-0598 | |
Boudreaux Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Burnham Rd, Suite A, Brandon, MS 39042 Phone: 601-664-0204 | |
Region 8 Mh/mr Commission Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Marquette Road, Brandon, MS 39042 Phone: 601-824-0342 Fax: 601-824-0349 | |
Comprehensive Total Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Avalon Cir Ste B, Brandon, MS 39047 Phone: 252-315-5165 |