MENDING BROKEN BRIDGES COUNSELING & CONSULTATION, LLC (NPI# 1235692534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235692534 |
| Entity Type | Organization |
| Organization Name | MENDING BROKEN BRIDGES COUNSELING & CONSULTATION, LLC |
| Practice Address |
801 E Northside Dr Ste C Clinton MS 39056-3663 |
| Practice Telephone | 6014732299 |
| Practice Fax Number | 6014732258 |
| Mailing Telephone | 6014732299 |
| Mailing Fax Number | 6014732258 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | DR. JANICE MOORE HOPKINS (OWNER/THERAPIST) |
| Authorized Official Telephone | 6014732299 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Janice Hopkins | Doing Business As Name - Organization |
| Street Address |
801 E NORTHSIDE DR STE C |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750478 | Latibbie Cavett | Counselor | 1311 Rosemont Dr, Clinton, MS 39056-3954 | 2020-11-05 |
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1255989117 | Donette Lyn Rotta | Counselor | 6300 Storkson Rd # B2, Clinton, WA 98236-9514 | 2019-09-03 |
| 1982171260 | Tanya Vincent | Counselor | 7105 Chickweed Ct, Clinton, MD 20735-5856 | 2018-10-25 |
| 1962926188 | Lashonna Denise Fletcher | Counselor | 201 Kirkwood Dr, Clinton, MS 39056-5970 | 2017-07-29 |
| 1780112268 | Shonda Monique Sessoms | Counselor | 203b Lindale Cir, Clinton, MS 39056-4507 | 2017-05-30 |
| 1295261857 | Well Being Counseling Center LLC | Counselor | 9015 Woodyard Rd Ste 215, Clinton, MD 20735-4209 | 2017-05-02 |
| 1558894428 | Linda Buckmon | Counselor | 5809 Spyri Dr, Clinton, MD 20735-3725 | 2017-04-07 |
| 1467997296 | Janice Hopkins Jr. | Counselor | 420 Rolling Grove Dr, Clinton, MS 39056-2047 | 2017-01-03 |
| 1801261292 | Kelly H White | Counselor | 604 Highway 80 W Ste R, Clinton, MS 39056-4108 | 2015-12-10 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.