Healthcare Provider Details

I. General information

NPI: 1326984287
Provider Name (Legal Business Name): EMBODIED COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 LAKELAND EAST DR
FLOWOOD MS
39232-9565
US

IV. Provider business mailing address

628 LAKELAND EAST DR
FLOWOOD MS
39232-9565
US

V. Phone/Fax

Practice location:
  • Phone: 228-236-7294
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH CARRANZA HUNT
Title or Position: OWNER
Credential: LPC, CST
Phone: 228-236-7294