Organization
RIVERTREE COUNSELING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LACY LACY DEESE LPC (OWNER/MANAGER)
(601) 670-6444
Entity
Organization
Contact information
Practice address
134 FAIRMONT ST STE B, CLINTON, MS 39056-4739
(601) 670-6444
Mailing address
804 E LEAKE ST, CLINTON, MS 39056-4325
(601) 670-6444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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