Organization
EBULLIENCE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ERICA ASHLEY BRUMFIELD LPC (OWNER, OPERATOR)
(601) 874-3340
Entity
Organization
Contact information
Practice address
501 AVALON WAY STE D, BRANDON, MS 39047-7500
(601) 874-3340
(601) 494-3241
Mailing address
PO BOX 68375, JACKSON, MS 39286-8375
(601) 874-3340
(601) 494-3340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009356703
—
MS
Enumeration date
09/30/2024
Last updated
09/30/2024
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