# FARRELL FAMILY COUNSELING CENTER, LLC

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

## Provider details

- **NPI number:** 1164699096
- **Authorized official:** MR. STARKE R FARRELL LCSW (MANAGER)
- **Authorized official phone:** (662) 993-9024

## Contact information

- **Practice address:** 118 N COMMERCE ST, RIPLEY, MS 38663-2009
- **Practice address phone:** (662) 993-9024
- **Practice address fax:** (662) 993-9025
- **Mailing address:** PO BOX 726, RIPLEY, MS 38663-0726
- **Mailing address phone:** (662) 993-9024
- **Mailing address fax:** (662) 993-9025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | C6287 | MS | Yes |

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 11/17/2015