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Organization

A BEAUTIFUL MIND COUNSELING SERVICES

Active
Other names
A Beautiful Mind Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
JOYCELYN LASHAE GREEN LCSW (LICENSE CLINICAL SOCIAL WORKER)
(601) 831-7325
Entity
Organization

Contact information

Practice address
1100 CLAY ST, VICKSBURG, MS 39183-2912
(601) 831-7325
Mailing address
115 NORTH DR, VICKSBURG, MS 39180-9304
(601) 831-7325

Taxonomy

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

Other

Enumeration date
04/10/2024
Last updated
06/24/2024
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