| New Leaf Counseling, Inc | |
|
7075 Golden Oaks Loop W Ste 8 Southaven MS 38671-9011 | |
| (901) 483-1086 | |
| Not Available |
| Full Name | New Leaf Counseling, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 7075 Golden Oaks Loop W Ste 8, Southaven, Mississippi |
| Authorized Official Name and Position | Katie Christides (PROVIDER/OWNER) |
| Authorized Official Contact | 9014831086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Counseling, Inc 7075 Golden Oaks Loop W Ste 8 Southaven MS 38671-9011 Ph: (901) 483-1086 | New Leaf Counseling, Inc 7075 Golden Oaks Loop W Ste 8 Southaven MS 38671-9011 Ph: (901) 483-1086 |
| NPI Number | 1306362405 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 11/01/2021 |
| Certification Date | 11/01/2021 |
| Medicare PECOS PAC ID | 1759757065 |
|---|---|
| Medicare Enrollment ID | O20221011002501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306362405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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