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Organization

PURPOSE IN PLAY COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY NICOLE DAVENPORT LPC, RPT, NCC (LICENSED PROFESSIONAL COUNSELOR)
(662) 931-6755
Entity
Organization

Contact information

Practice address
365 W REED RD STE A2-2, GREENVILLE, MS 38701-6967
(662) 394-8992
Mailing address
1228 E WANDA DR, GREENVILLE, MS 38703-6553
(662) 931-6755

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
02/25/2026
Last updated
02/25/2026
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