Organization
EYES OF THE HEART MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP PREWETTE M.A. (ASST. DIRECTOR)
(601) 924-5433
Entity
Organization
Contact information
Practice address
402 MONROE ST, CLINTON, MS 39056-4210
(601) 924-5433
Mailing address
402 MONROE ST, CLINTON, MS 39056-4210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1113
MS
106H00000X
Marriage & Family Therapist
T0243
MS
106H00000X
Marriage & Family Therapist
Primary
T0389
MS
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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