Southern Counseling Center

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2008000665 Issued in MS

Legal business name

SOUTHERN COUNSELING CENTER

Practice address

428 W Northside Dr
Jackson, MS 39206-4636

Phone

(601) 238-0849

NPI assigned

May 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor G Evans

Title

Director

Phone

(601) 238-0849

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1528405966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050B WAYNELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114425",
            "telephone_number": "601-238-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W NORTHSIDE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064636",
            "telephone_number": "601-238-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-238-0849"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MS",
            "license": "2008000665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.