Organization · Type 2 NPI

Life Balance Clinic LLC

Clinical Social Worker · Vicksburg, MS

NPI number 1811244858 Active

Practice location

1107 Openwood St
Vicksburg, MS 39183

Fax (601) 206-0672

Mailing address

113 Woodstone Dr
Vicksburg, MS 39183-8319

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC6582 (MS)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1811244858

Life Balance Clinic LLC's National Provider Identifier is 1811244858, issued on Aug 9, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vicksburg, MS. The record was last updated on Aug 7, 2018.