Individual
PATRICIA A SILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
111 BOOKER STREET, SHAW, MS 38773-0929
(662) 719-8692
Mailing address
PO BOX 929, SHAW, MS 38773-0929
(662) 719-8692
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
M7190
MS
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/22/2023
Last updated
12/31/2024
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