New Leaf Therapy LLC
NPI #1134914104 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1134914104
- Entity Type
- Organization
- Organization Name
- New Leaf Therapy LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Apr 10, 2025
- Last Updated
- Apr 10, 2025
Practice Location
- Address
- 262 KING RD
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-8503
- Phone
- (662) 769-1024
Authorized Official
- Name
- MR. CORVELL COBURN, LCSW
- Title
- PSYCHOTHERAPIST
- Phone
- (662) 769-1024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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