MEDICARE: RESPONSIVE COUNSELING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1164386363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPONSIVE COUNSELING CENTER

Provider Business Mailing Address
First Line	:	2540 FLOWOOD DR STE A
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9362
Country	:	US
Telephone Number	:	601-939-5993
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 FLOWOOD DR STE A
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9362
Country	:	US
Telephone Number	:	601-939-5993
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUDHAKAR MADAKASIRA
Credential	:	MD
Telephone Number	:	601-939-5993

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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