Provider Demographics
NPI:1316412646
Name:DELTA COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:DELTA COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABBIE
Authorized Official - Middle Name:SIGHTLER
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:662-390-6554
Mailing Address - Street 1:301 S VICTORIA AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-3235
Mailing Address - Country:US
Mailing Address - Phone:662-390-6554
Mailing Address - Fax:
Practice Address - Street 1:103 S COURT ST STE 116
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-2651
Practice Address - Country:US
Practice Address - Phone:662-390-6554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-13
Last Update Date:2018-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1427565886OtherLPC