The Clinic, Therapy & Consulting LLC
NPI #1184108276 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1184108276
- Entity Type
- Organization
- Organization Name
- The Clinic, Therapy & Consulting LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 24, 2018
- Last Updated
- Oct 31, 2019
Practice Location
- Address
- 12337 ASHLEY DR STE C
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-2753
- Phone
- (601) 460-0191
Authorized Official
- Name
- WENDI WOOD, LPC-S
- Title
- LICENSED PROFESSIONAL COUNSELOR
- Phone
- (601) 460-0191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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