# PROSPERITY COUNSELING SERVICE LLC

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

## Provider details

- **NPI number:** 1700319068
- **Authorized official:** TANYA LARRY LMFT (OWNER)
- **Authorized official phone:** (601) 942-1884

## Contact information

- **Practice address:** 2627 RIDGEWOOD RD, STE 103, JACKSON, MS 39216-4904
- **Practice address phone:** (601) 942-1884
- **Mailing address:** 252 CALLAWAY CIR, BYRAM, MS 39272-4521
- **Mailing address phone:** (601) 942-1884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | T0442 | MS | Yes |

## Other

- **Enumeration date:** 04/04/2017
- **Last updated:** 04/04/2017