Organization
DIFF3R3NT MENTALITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASPEN J HARDGES LCSW (LCSW)
(601) 300-3704
Entity
Organization
Contact information
Practice address
1415 CORPORATE SQUARE DR STE A, SLIDELL, LA 70458-3151
(601) 300-3704
Mailing address
27 TERRACE HILLS DR, HATTIESBURG, MS 39402-7335
(601) 248-5115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
05/11/2023
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