# SEASONS OF LIFE THERAPY, LLC

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

## Provider details

- **NPI number:** 1447070693
- **Authorized official:** DEBBIE MCMILLEN PANNELL LCSW (OWNER)
- **Authorized official phone:** (662) 231-0171

## Contact information

- **Practice address:** 1509 S ADAMS ST STE D, FULTON, MS 38843-6621
- **Practice address phone:** (662) 231-0173
- **Mailing address:** 1509 S ADAMS ST STE D, FULTON, MS 38843-6621
- **Mailing address phone:** (662) 523-9831

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2024
- **Last updated:** 11/19/2025