Organization
ASCEND COUNSELING AND CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI GORDON LPC (MANAGER/MEMBER)
(601) 822-2286
Entity
Organization
Contact information
Practice address
212 S WHITWORTH AVENUE, BROOKHAVEN, MS 39601
(601) 822-2286
(601) 822-2296
Mailing address
PO BOX 3879, BROOKHAVEN, MS 39603-7879
(601) 822-2286
(601) 822-2296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/14/2021
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