NPI | 1730988254 |
---|---|
Doing Business As | SMALL SPOONS HEALING |
Entity Type | Organization |
Authorized Contact | JOURDAN MARIE PORTER Licensed Clinical Psychologist 601-862-0343 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2025-03-08 |
Last Update Date | 2025-08-06 |