Provider Demographics
NPI:1578129797
Name:SKY'S THE LIMIT COUNSELING.COM
Entity Type:Organization
Organization Name:SKY'S THE LIMIT COUNSELING.COM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERY
Authorized Official - Middle Name:W
Authorized Official - Last Name:MULLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:662-352-9484
Mailing Address - Street 1:700 10TH AVE S
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39701-6836
Mailing Address - Country:US
Mailing Address - Phone:662-352-9484
Mailing Address - Fax:662-579-1746
Practice Address - Street 1:118 S MCCRARY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39702-6320
Practice Address - Country:US
Practice Address - Phone:662-352-9568
Practice Address - Fax:662-570-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04986566Medicaid