NPI 1700319068
Prosperity Counseling Service LLC
Practice location
- Address
- 2627 Ridgewood Rd STE 103, Jackson, MS 39216-4904
- Phone
- (601) 942-1884
- Mailing address
- 252 Callaway Cir, Byram, MS 39272-4521
Authorised official
- Name
- Tanya Larry
- Title
- Owner
- Phone
- (601) 942-1884
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1700319068
- Entity type
- Organization
- NPI issued
- 4 Apr 2017
- Record last updated
- 4 Apr 2017
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.