Organization · Type 2 NPI

Desoto Wellness Clinic LLC

Addiction (Substance Use Disorder) Counselor · Southaven, MS

NPI number 1750051173 Active

Practice location

8829 Centre St Ste 100
Southaven, MS 38671-2610

Mailing address

222 Southlakes Dr
Grenada, MS 38901-8499

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Clinical Social Worker 1041C0700XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750051173

Desoto Wellness Clinic LLC's National Provider Identifier is 1750051173, issued on Sep 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Southaven, MS. The record was last updated on Sep 16, 2021.