Organization
FOUR WINDS COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON ROGERS LCSW (OWNER)
(860) 304-4773
Entity
Organization
Contact information
Practice address
6814 CRUMPLER BLVD STE 201A, OLIVE BRANCH, MS 38654-1995
(860) 304-4773
Mailing address
6814 CRUMPLER BLVD STE 201A, OLIVE BRANCH, MS 38654-1995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/18/2024
Last updated
04/23/2024
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