Healthcare Provider Details

I. General information

NPI: 1982086641
Provider Name (Legal Business Name): TURNING POINT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 06/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 EBENEZER BLVD SUITE B
MADISON MS
39110
US

IV. Provider business mailing address

137 HIGHWOODS BLVD
MADISON MS
39110-7423
US

V. Phone/Fax

Practice location:
  • Phone: 601-863-9430
  • Fax:
Mailing address:
  • Phone: 601-863-9430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1924
License Number StateMS

VIII. Authorized Official

Name: DR. MARK T HAGWOOD
Title or Position: OWNER
Credential: DPC
Phone: 601-863-9430