Whalio Doctors

NPI 1700319068

Prosperity Counseling Service LLC

Organisation Marriage & Family Therapist Jackson, MS

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
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence T0442 (MS)

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.