Organization
SOULFLOWER COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKI BRYANT LPC (OWNER)
(662) 769-1647
Entity
Organization
Contact information
Practice address
203 EDGEWOOD DR, STARKVILLE, MS 39759-2319
(662) 769-1647
Mailing address
203 EDGEWOOD DR, STARKVILLE, MS 39759-2319
(662) 769-1647
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1859
MS
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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