Organization
PROVIDENCE COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN M. BISHOP (PRESIDENT)
(601) 278-6789
Entity
Organization
Contact information
Practice address
2508 LAKELAND DR, SUITE 200, FLOWOOD, MS 39232-9502
(601) 664-0455
Mailing address
1217 PINEVIEW DR, CLINTON, MS 39056-3539
(601) 278-6789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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