Provider Demographics
NPI:1720858582
Name:P&P COUNSELING SERVICES WAYNESBORO BRANCH
Entity Type:Organization
Organization Name:P&P COUNSELING SERVICES WAYNESBORO BRANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, BC-TMH
Authorized Official - Phone:601-410-7771
Mailing Address - Street 1:72 NORTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:MS
Mailing Address - Zip Code:39367-9045
Mailing Address - Country:US
Mailing Address - Phone:601-410-7771
Mailing Address - Fax:601-735-4195
Practice Address - Street 1:72 NORTHWOOD DR
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:MS
Practice Address - Zip Code:39367-9045
Practice Address - Country:US
Practice Address - Phone:601-410-7771
Practice Address - Fax:601-735-4195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health