Organization
THE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHERYL LEON (OFFICE MANAGER)
(228) 388-7998
Entity
Organization
Contact information
Practice address
2643 EXECUTIVE PL, BILOXI, MS 39531-3718
(228) 388-7998
(228) 388-9630
Mailing address
2643 EXECUTIVE PL, BILOXI, MS 39531-3718
(228) 388-7998
(228) 388-9630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-42
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147322677A
BCBS PROVIDER NUMBER
MS
Enumeration date
03/02/2007
Last updated
07/18/2008
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