# TRIPLE H RANCH LLC

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

## Provider details

- **NPI number:** 1619684461
- **Authorized official:** MRS. DAWN VANBUSKIRK LCSW (OWNER/THERAPIST)
- **Authorized official phone:** (228) 283-5005

## Contact information

- **Practice address:** 7205 HUMPHREY RD, VANCLEAVE, MS 39565-7806
- **Practice address phone:** (228) 283-5005
- **Mailing address:** 7205 HUMPHREY RD, VANCLEAVE, MS 39565-7806
- **Mailing address phone:** (228) 283-5005

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2022
- **Last updated:** 11/01/2022