# WELLNESS & COUNSELING CENTER OF TUPELO LLC

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

## Provider details

- **NPI number:** 1710468863
- **Authorized official:** DR. PHIL BAQUIE LPC (OWNER)
- **Authorized official phone:** (183) 329-2935

## Contact information

- **Practice address:** 499 GLOSTER CREEK VLG STE F-5C, TUPELO, MS 38801-4600
- **Practice address phone:** (833) 292-9355
- **Mailing address:** 304 ENTERPRISE DR, OXFORD, MS 38655-2762
- **Mailing address phone:** (662) 371-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2018
- **Last updated:** 08/27/2018
