Prosperity Counseling Service LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0442 Issued in MS

Legal business name

PROSPERITY COUNSELING SERVICE LLC

Practice address

2627 Ridgewood Rd
Ste 103
Jackson, MS 39216-4904

Phone

(601) 942-1884

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Tanya Larry, LMFTNPI 1528590957

Title

Owner

Phone

(601) 942-1884

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanya Larry, LMFT

  • Marriage & Family Therapist
  • Jackson, MS
  • NPI 1528590957
  NPD (past) Authorized official

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1700319068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CALLAWAY CIR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392724521",
            "telephone_number": "601-942-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 RIDGEWOOD RD",
            "address_2": "STE 103",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164904",
            "telephone_number": "601-942-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY COUNSELING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "LARRY",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-942-1884",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.