Provider Demographics
NPI:1679045215
Name:REFUGE COUNSELING CENTER
Entity Type:Organization
Organization Name:REFUGE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:601-531-3979
Mailing Address - Street 1:3514 HIGHWAY 39 N STE A
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-1305
Mailing Address - Country:US
Mailing Address - Phone:601-531-3979
Mailing Address - Fax:
Practice Address - Street 1:3514 HIGHWAY 39 N STE A
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-1305
Practice Address - Country:US
Practice Address - Phone:601-531-3979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty