| NPI | 1669927729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWN THOMPSON Lincensed Professional Counselor 601-653-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1832) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |