Organization
RODGERS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAEISHA RODGERS LPC (LICENSED PROFESSIONAL COUNSELOR)
(662) 871-9666
Entity
Organization
Contact information
Practice address
230-2 GOODMAN ROAD EAST, SUITE 204, SOUTHAVEN, MS 38671
(662) 985-1844
Mailing address
230-2 GOODMAN ROAD EAST, SUITE 204, SOUTHAVEN, MS 38671
(662) 985-1844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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