| NPI | 1700237039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLA JOY MOORE Therapist,Psychometrist, 601-384-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MS 2191) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MS 2191) |
| 102L00000X Psychoanalyst (Licence: MS 2191) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2017-10-27 |