Rivertree Counseling Associates Llc | |
134 Fairmont St Ste B Clinton MS 39056-4739 | |
(601) 670-6444 | |
Not Available |
Full Name | Rivertree Counseling Associates Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 134 Fairmont St Ste B, Clinton, Mississippi |
Authorized Official Name and Position | Lacy Lacy Deese (OWNER/MANAGER) |
Authorized Official Contact | 6016706444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rivertree Counseling Associates Llc 804 E Leake St Clinton MS 39056-4325 Ph: (601) 670-6444 | Rivertree Counseling Associates Llc 134 Fairmont St Ste B Clinton MS 39056-4739 Ph: (601) 670-6444 |
NPI Number | 1124742705 |
---|---|
Provider Enumeration Date | 09/28/2022 |
Last Update Date | 09/28/2022 |
Certification Date | 09/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124742705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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