Organization
NEW LEAF THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORVELL COBURN LCSW (PSYCHOTHERAPIST)
(662) 769-1024
Entity
Organization
Contact information
Practice address
262 KING RD, HATTIESBURG, MS 39402-8503
(662) 769-1024
Mailing address
262 KING RD, HATTIESBURG, MS 39402-8503
(662) 769-1024
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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