Organization
THE COUNSELOR IN FLIP-FLOPS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHARINE GRACE JOHNSON PHD, LPC-S, NCC (OWNER/PROFESSIONAL COUNSELOR)
(256) 682-9230
Entity
Organization
Contact information
Practice address
6952 DOGWOOD MNR N STE 101, OLIVE BRANCH, MS 38654-2091
(662) 782-6652
Mailing address
4828 ANTEBELLUM LN, OLIVE BRANCH, MS 38654-6575
(256) 682-9230
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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