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Organization
HEALING MINDS COUNSELING CENTER LLC
Active
Organization
HEALING MINDS COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LASHUNDRA CLARK LPC (OWNER/CEO)
(601) 488-4852
Entity
Organization
Contact information
Practice address
315 HIGHWAY 80 E, CLINTON, MS 39056-4717
(601) 488-4852
(601) 488-4091
Mailing address
315 HIGHWAY 80 E, CLINTON, MS 39056-4717
(601) 488-4852
(601) 488-4091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07578542
—
MS
Enumeration date
06/15/2021
Last updated
06/15/2021
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