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Organization
PROMISES COUNSELING
Active
Organization
PROMISES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDICE RENEE BASS LPC (MENTAL HEALTH THERAPIST)
(601) 270-0663
Entity
Organization
Contact information
Practice address
812 HIGHWAY 11 S, ELLISVILLE, MS 39437-3508
(601) 643-9815
Mailing address
7 JO RD, ELLISVILLE, MS 39437-4503
(601) 270-0663
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/08/2024
Last updated
04/14/2025
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