Provider Demographics
NPI:1497380794
Name:FINESSE MENTAL HEALTH WELLNESS AND COUNSELING SERVICES
Entity Type:Organization
Organization Name:FINESSE MENTAL HEALTH WELLNESS AND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CARVAN
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-701-3206
Mailing Address - Street 1:P.O. BOX 4563
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39304
Mailing Address - Country:US
Mailing Address - Phone:601-701-3206
Mailing Address - Fax:
Practice Address - Street 1:107 20TH AVE S
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301
Practice Address - Country:US
Practice Address - Phone:662-532-2484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)