Organization
WELLNESS & COUNSELING CENTER OF TUPELO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHIL BAQUIE LPC (OWNER)
(183) 329-2935
Entity
Organization
Contact information
Practice address
499 GLOSTER CREEK VLG STE F-5C, TUPELO, MS 38801-4600
(833) 292-9355
Mailing address
304 ENTERPRISE DR, OXFORD, MS 38655-2762
(662) 371-1711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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