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Organization

INTENTIONAL MINDED COUNSELING & CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LOCK LPC (CO-OWNER)
(601) 519-1011
Entity
Organization

Contact information

Practice address
201 HIGHWAY 51 SUITE B, RIDGELAND, MS 39157
(601) 519-1011
(601) 822-6009
Mailing address
201 HIGHWAY 51, SUITE B, RIDGELAND, MS 39157
(601) 519-1011
(601) 822-6009

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/25/2023
Last updated
07/25/2023
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