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Organization

RESTORATION HOUSE COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BAKER SHERIDAN (OWNER)
(601) 336-9131
Entity
Organization

Contact information

Practice address
615 W PINE ST, HATTIESBURG, MS 39401-3835
(601) 336-9131
Mailing address
615 W PINE ST, HATTIESBURG, MS 39401-3835
(601) 336-9131

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
03/19/2021
Last updated
12/13/2024
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