# ON SITE THERAPY ASSOCIATES

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

## Provider details

- **NPI number:** 1356549083
- **Authorized official:** DEBORAH J HOLT PH.D, L.M.S.W. (OWNER)
- **Authorized official phone:** (601) 713-2194

## Contact information

- **Practice address:** 1070 BUCKLEY DR, JACKSON, MS 39206-6110
- **Practice address phone:** (601) 713-2194
- **Practice address fax:** (601) 366-8167
- **Mailing address:** 1070 BUCKLEY DR, JACKSON, MS 39206-6110
- **Mailing address phone:** (601) 713-2194
- **Mailing address fax:** (601) 366-8167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | M2598 | MS | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 08/22/2020