Organization
PBR COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BUSBY-ROBINSON (CHIEF EXECUTIVE OFFICER)
(662) 299-7336
Entity
Organization
Contact information
Practice address
201 FULTON ST, GREENWOOD, MS 38930-4324
(662) 644-5111
(662) 590-0263
Mailing address
201 FULTON ST, GREENWOOD, MS 38930-4324
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/13/2019
Last updated
05/25/2019
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