Organization
LIFE SEASONS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARRA CRISWELL (MANAGER)
(662) 347-6310
Entity
Organization
Contact information
Practice address
116 N COLUMBIA ST, PONTOTOC, MS 38863-2002
(662) 347-6310
Mailing address
116 N COLUMBIA ST, PONTOTOC, MS 38863-2002
(662) 347-6310
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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