PROGRESSIVE MOVEMENT COUNSELING & CONSULTATION SERVICES LLC NPI 1184099749

NPI Information

NPI: 1184099749
Provider Name: PROGRESSIVE MOVEMENT COUNSELING & CONSULTATION SERVICES, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5735 ANGLE ST
JACKSON, MS
ZIP 39206
Phone: (601) 201-4421
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PROGRESSIVE MOVEMENT COUNSELING & CONSULTATION SERVICES, LLC is a professional counselor in Jackson, MS. PROGRESSIVE MOVEMENT COUNSELING & CONSULTATION SERVICES, LLC NPI is 1184099749. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5735 ANGLE ST
JACKSON, MS
ZIP 39206-905
Phone: (601) 201-4421

The provider's authorized official is Jerrilyn Dixson .
The authorized official title is Therapist and has the following contact phone number (601) 201-4421.

The enumeration date for this NPI number is 12/8/2015 and was last updated on 12/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	1980	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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