Organization
MINDFUL THOUGHTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DENISE TATUM LCSW (OWNER)
(601) 316-8046
Entity
Organization
Contact information
Practice address
665 S PEAR ORCHARD RD, RIDGELAND, MS 39157-4861
(601) 316-8046
Mailing address
PO BOX 884, MAGEE, MS 39111-0884
(601) 345-1906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
11/06/2024
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