Organization
WHERE POSITIVITY GROWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA WHITE LCSW (OWNER/DIRECTOR)
(662) 571-6149
Entity
Organization
Contact information
Practice address
121 HANOVER ST, MADISON, MS 39110-6028
(662) 571-6149
Mailing address
121 HANOVER ST, MADISON, MS 39110-6028
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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