# PASSIONATE LIVING COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023575347
- **Authorized official:** MR. PHILIP HARDIN LPC, LMFT (MAIN COUNSELOR/THERAPIST)
- **Authorized official phone:** (601) 925-0707

## Contact information

- **Practice address:** 1755 LELIA DR STE 105, JACKSON, MS 39216-4828
- **Practice address phone:** (601) 925-0707
- **Mailing address:** 1755 LELIA DR STE 105, JACKSON, MS 39216-4828
- **Mailing address phone:** (601) 925-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2019
- **Last updated:** 02/22/2019