Organization
LAUREATE' COUNSELING & PERSONAL DEVELOPMENT, LLC
Active
Other names
Tishounna Knox Sulton, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TISHOUNNA KNOX SULTON LCSW (OWNER/CLINICAL PSYCHOTHERAPIST)
(769) 216-0815
Entity
Organization
Contact information
Practice address
510 GEORGE ST STE 214, JACKSON, MS 39202-3029
(769) 216-0815
Mailing address
510 GEORGE ST STE 214, JACKSON, MS 39202-3029
(769) 216-0815
(601) 510-9785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00259005
—
MS
Enumeration date
07/03/2019
Last updated
07/03/2019
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