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Organization
EMOTIONALLY AVAILABLE COUNSELING
Active
Organization
EMOTIONALLY AVAILABLE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIEKA EBON HARRIS LCSW (CHIEF EXECUTIVE OFFICER)
(662) 404-1429
Entity
Organization
Contact information
Practice address
8830 CENTRE ST STE 2, SOUTHAVEN, MS 38671-2609
(901) 308-7155
(662) 528-4745
Mailing address
1867 AMHURST CV, SOUTHAVEN, MS 38671-5133
(901) 308-7155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/13/2023
Last updated
12/26/2023
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