| NPI | 1881976488 |
|---|---|
| Former Legal Business Name | MAIN ST. COUNSELING & CONSULTING |
| Entity Type | Organization |
| Authorized Contact | WENDIE W WOODS Executive & Clinical Director 662-338-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MS 696) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |