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BROOKS OF WATER COUNSELING NPI 1760762579


NPI Information

NPI: 1760762579
Provider Name: BROOKS OF WATER COUNSELING
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
1700 W GOVERNMENT ST
SUITE 207
BRANDON, MS
ZIP 39042
Phone: (601) 706-4021
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BROOKS OF WATER COUNSELING is a marriage family therapist in Brandon, MS. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. BROOKS OF WATER COUNSELING NPI is 1760762579. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1700 W GOVERNMENT ST
SUITE 207
BRANDON, MS
ZIP 39042-417
Phone: (601) 706-4021

The provider's authorized official is Esther T. Anglade .
The authorized official title is Clinical Director and has the following contact phone number (601) 706-4021.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 8/24/2011.


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
1106H00000XMarriage & Family TherapistT0378MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19082699OTHERMISSISSIPPIAETNA

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: 5/5/2024

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