Healthcare Provider Details

I. General information

NPI: 1497380794
Provider Name (Legal Business Name): FINESSE MENTAL HEALTH WELLNESS AND COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2020
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 1/2 23RD AVE
MERIDIAN MS
39301-5013
US

IV. Provider business mailing address

P.O. BOX 4563
MERIDIAN MS
39304
US

V. Phone/Fax

Practice location:
  • Phone: 601-701-3206
  • Fax:
Mailing address:
  • Phone: 601-701-3206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CARVAN LORRAINE CARTER
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential:
Phone: 601-701-3206