Epiphany Counseling Center LLC
NPI #1730915778 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1730915778
- Entity Type
- Organization
- Organization Name
- Epiphany Counseling Center LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Sep 9, 2024
- Last Updated
- Sep 9, 2024
Practice Location
- Address
- 368 COURTHOUSE RD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39507-1856
- Phone
- (228) 918-9788
Authorized Official
- Name
- MS. SHEDRA MONIQUE JOHNSON, LCSW
- Title
- LICENSED CERTIFIED SOCIAL WORKER
- Phone
- (228) 918-9788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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