Organization
LEGACY COUNSELING SERVICES, LLC
Active
Other names
Ouida Parks, Ouida Parks
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OUIDA PARKS DPC, LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(662) 532-2399
Entity
Organization
Contact information
Practice address
1435 GRAND AVE, YAZOO CITY, MS 39194-2651
(662) 532-2399
Mailing address
PO BOX 861, YAZOO CITY, MS 39194-0861
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09958268
—
MS
Enumeration date
08/12/2020
Last updated
09/14/2020
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