Healthcare Provider Details
I. General information
NPI: 1952623761
Provider Name (Legal Business Name): TRUE UNDERSTANDING MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2010
Last Update Date: 02/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2814 LARAMIE CIR
HATTIESBURG MS
39402-2626
US
IV. Provider business mailing address
2814 LARAMIE CIR
HATTIESBURG MS
39402-2626
US
V. Phone/Fax
- Phone: 601-325-3932
- Fax: 267-430-4671
- Phone: 601-325-3932
- Fax: 267-430-4671
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | 1381 |
| License Number State | MS |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 1381 |
| License Number State | MS |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 1381 |
| License Number State | MS |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 1381 |
| License Number State | MS |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | M5151 |
| License Number State | MS |
VIII. Authorized Official
Name:
ELIZABETH
CONERLY
SMITH
Title or Position: PRESIDENT/DIRECTOR
Credential: M.A. LPC
Phone: 601-325-3932