# CAC THERAPY GROUP, LLC

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

## Provider details

- **NPI number:** 1174652523
- **Authorized official:** MS. BETH CALENDER LCSW (LCSW)
- **Authorized official phone:** (601) 955-6289

## Contact information

- **Practice address:** 1016 INDUSTRIAL PARK DR, CLINTON, MS 39056-3210
- **Practice address phone:** (601) 955-6289
- **Practice address fax:** (601) 591-5460
- **Mailing address:** 1016 INDUSTRIAL PARK DR, CLINTON, MS 39056-3210
- **Mailing address phone:** (601) 955-6289
- **Mailing address fax:** (601) 591-5460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00123406 | — | MS |
| 05 | — | 04478331 | — | MS |
