Organization
CARLISLE COUNSELING AND CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALONDA CARLISLE (OWNER/THERAPIST)
(601) 559-0599
Entity
Organization
Contact information
Practice address
234 W SCHOOL ST, RIDGELAND, MS 39157-2707
(601) 559-0599
Mailing address
101 KENZIE DR, MADISON, MS 39110-7081
(601) 559-0599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05006289
—
MS
Enumeration date
06/28/2019
Last updated
01/07/2020
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