Refined Therapy Group, LLC
NPI #1003555079 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1003555079
- Entity Type
- Organization
- Organization Name
- Refined Therapy Group, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 30, 2022
- Last Updated
- Jan 21, 2023
Practice Location
- Address
- 1403 43RD AVE STE D
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-2545
- Phone
- (601) 215-5545
Authorized Official
- Name
- RIVA CORNELIUS, LCSW
- Title
- OWNER
- Phone
- (228) 493-9141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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