Provider Demographics
NPI:1023761137
Name:LIVE OAKS COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:LIVE OAKS COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PROPST
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:601-813-6907
Mailing Address - Street 1:734A SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-3303
Mailing Address - Country:US
Mailing Address - Phone:601-813-6907
Mailing Address - Fax:
Practice Address - Street 1:734A SHERWOOD DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-3303
Practice Address - Country:US
Practice Address - Phone:601-813-6907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty