Organization
THE CLINIC, THERAPY & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI WOOD LPC-S (LICENSED PROFESSIONAL COUNSELOR)
(601) 460-0191
Entity
Organization
Contact information
Practice address
12337 ASHLEY DR STE C, GULFPORT, MS 39503-2753
(601) 460-0191
(601) 336-0968
Mailing address
PO BOX 2582, GULFPORT, MS 39505-2582
(601) 460-0191
(601) 336-0968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
10/31/2019
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