THE COUNSELING DEN CHRISTIAN COUNSELING CENTER SOUTHAVEN, MS

Contact Information

THE COUNSELING DEN CHRISTIAN COUNSELING CENTER

7145 SWINNEA RD STE 2
SOUTHAVEN, MS 38671-6380

Phone: 901-647-9167
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Addiction (Substance Use Disorder)	101YA0400X
Art Therapist	221700000X
Behavior Analyst	103K00000X
Behavior Technician	106S00000X
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Counseling	103TC1900X	62	Psychologist, Clinical
Mental Health	101YM0800X
Mental Health	225XM0800X	67	Occupational Therapist in Private Practice
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Other Service Providers	175T00000X
Pastoral	101YP1600X
Psychiatric/Mental Health	163WP0808X

Indicates primary specialty

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NPI Profile & details for THE COUNSELING DEN CHRISTIAN COUNSELING CENTER · (Female)

NPI Number	`1497468870`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/02/2023
Last updated	01/02/2023 - About 3 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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