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Organization
PASSIONATE LIVING COUNSELING
Active
Organization
PASSIONATE LIVING COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP HARDIN LPC, LMFT (MAIN COUNSELOR/THERAPIST)
(601) 925-0707
Entity
Organization
Contact information
Practice address
1755 LELIA DR STE 105, JACKSON, MS 39216-4828
(601) 925-0707
Mailing address
1755 LELIA DR STE 105, JACKSON, MS 39216-4828
(601) 925-0707
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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