Whalio Doctors

NPI 1124471412

Lifeworks Counseling

Organisation Community/Behavioral Health Agency Madison, MS

Practice location

Address
940 Ebenezer Blvd., Madison, MS 39110
Phone
(601) 790-0583
Mailing address
818 Beaumont Dr, Madison, MS 39110-7310

Authorised official

Name
Roane Therell Hunter
Title
Counselor/ Family Therapist
Phone
(601) 790-0583

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 1897 (MS)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 1830 (MS)

Registry record

NPI
1124471412
Entity type
Organization
NPI issued
21 Jul 2016
Record last updated
27 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.