Provider Demographics
NPI:1760072631
Name:P&P COUNSELING SERVICES MERIDIAN BRANCH
Entity Type:Organization
Organization Name:P&P COUNSELING SERVICES MERIDIAN BRANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZETTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:601-480-5402
Mailing Address - Street 1:3216 37TH CT
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-3639
Mailing Address - Country:US
Mailing Address - Phone:601-480-5402
Mailing Address - Fax:601-453-2348
Practice Address - Street 1:3216 37TH CT
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-3639
Practice Address - Country:US
Practice Address - Phone:601-480-5402
Practice Address - Fax:601-453-2348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-24
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health