| The Counselor In Flip-flops, Llc | |
|
6952 Dogwood Mnr N Ste 101 Olive Branch MS 38654-2091 | |
| (662) 782-6652 | |
| Not Available |
| Full Name | The Counselor In Flip-flops, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6952 Dogwood Mnr N Ste 101, Olive Branch, Mississippi |
| Authorized Official Name and Position | Katharine Grace Johnson (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2566829230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counselor In Flip-flops, Llc 4828 Antebellum Ln Olive Branch MS 38654-6575 Ph: (256) 682-9230 | The Counselor In Flip-flops, Llc 6952 Dogwood Mnr N Ste 101 Olive Branch MS 38654-2091 Ph: (662) 782-6652 |
| NPI Number | 1962273722 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962273722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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