Mended Hearts Counseling Services, LLC
NPI #1780405738 in Rolling Fork, Mississippi
Provider Information
- NPI Number
- 1780405738
- Entity Type
- Organization
- Organization Name
- Mended Hearts Counseling Services, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 22, 2024
- Last Updated
- Oct 22, 2024
Practice Location
- Address
- 159 PARKWAY AVE
- City
- Rolling Fork
- State
- Mississippi
- ZIP Code
- 39159-5112
- Phone
- (662) 347-9999
Authorized Official
- Name
- DR. MIRIAM JACKSON-HAMILTON, DPC
- Title
- OWNER
- Phone
- (662) 347-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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