# SYCAMORE TREE COUNSELING SERVICES

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

## Provider details

- **NPI number:** 1760716385
- **Authorized official:** MRS. HEATHER J WILKES LCSW (THERAPIST)
- **Authorized official phone:** (601) 545-2442

## Contact information

- **Practice address:** 207 3RD AVE, HATTIESBURG, MS 39401-3868
- **Practice address phone:** (601) 545-2442
- **Practice address fax:** (601) 545-2443
- **Mailing address:** 207 3RD AVE, HATTIESBURG, MS 39401-3868
- **Mailing address phone:** (601) 545-2442
- **Mailing address fax:** (601) 545-2443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | C4945 | MS | Yes |

## Other

- **Enumeration date:** 09/29/2009
- **Last updated:** 09/29/2009