Organization
CLAYCON, LLC
Active
Parent organization
CLAYCON LLC DBA: A BRIDGE TO RECOVERY
Other names
The Healing Path Program for Women
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAYCON LLC DBA: A BRIDGE TO RECOVERY
Authorized official
ANGIE GARRETT (OFFICE MANAGER)
(662) 280-5758
Entity
Organization
Contact information
Practice address
5158 STAGE RD, SUITE 130, MEMPHIS, TN 38134-3116
(662) 280-5758
(662) 280-5708
Mailing address
8829 CENTRE ST, SOUTHAVEN, MS 38671-2610
(662) 280-5758
(662) 280-5708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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