| Lifeworks Counseling | |
|
940 Ebenezer Blvd. Madison MS 39110 | |
| (601) 790-0583 | |
| Not Available |
| Full Name | Lifeworks Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 940 Ebenezer Blvd., Madison, Mississippi |
| Authorized Official Name and Position | Roane Therell Hunter (COUNSELOR/ FAMILY THERAPIST) |
| Authorized Official Contact | 6017900583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Counseling 818 Beaumont Dr Madison MS 39110-7310 Ph: (601) 790-0583 | Lifeworks Counseling 940 Ebenezer Blvd. Madison MS 39110 Ph: (601) 790-0583 |
| NPI Number | 1124471412 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 09/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124471412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1897 (Mississippi) | Primary |
| 251S00000X | Community/behavioral Health | 1830 (Mississippi) | Secondary |
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