Organization
O(PEN MIND). U(NIQUE). R(ESTORE). COUNSELING SERVICES (OUR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENITA HOGAN DPC, LPC- MHSP (CEO)
(901) 212-0014
Entity
Organization
Contact information
Practice address
6000 POPLAR AVE STE 250, MEMPHIS, TN 38119-3974
(901) 261-5400
Mailing address
429 E COMMERCE ST # 318, HERNANDO, MS 38632-2348
(901) 212-0014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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