# KS HUDGINS PROFESSIONAL COUNSELING AND CONSULTING GROUP, LLC

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

## Provider details

- **NPI number:** 1780314153
- **Authorized official:** KIMBERLY SHELTON-HUDGINS LCSW (OWNER AND LEAD THERAPIST)
- **Authorized official phone:** (662) 425-4879

## Contact information

- **Practice address:** 218 5TH ST S STE 3, COLUMBUS, MS 39701-5730
- **Practice address phone:** (662) 368-8853
- **Practice address fax:** (877) 920-2150
- **Mailing address:** PO BOX 8830, COLUMBUS, MS 39705-0014
- **Mailing address phone:** (662) 425-4879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2022
- **Last updated:** 09/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08602526 | — | MS |