# BEST OUTCOMES THERAPEUTIC SERVICES, LLC

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

## Provider details

- **NPI number:** 1972164176
- **Authorized official:** DR. KENISHA GORDON LPC (CO-OWNER)
- **Authorized official phone:** (504) 813-4968

## Contact information

- **Practice address:** 787 E NORTHSIDE DR, JACKSON, MS 39206-4945
- **Practice address phone:** (504) 813-4968
- **Mailing address:** PO BOX 587, CLINTON, MS 39060-0587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2019
- **Last updated:** 06/27/2019