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NPI 1457085102

NPI 1457085102 : PIVOTING POINT COUNSELING SERVICES, LLC : HERNANDO, MS

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General NPI Number Information
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    NPI Number           |    1457085102
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    Entity Type          |    Organization 
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    Legal Business Name  |    PIVOTING POINT COUNSELING SERVICES, LLC 
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Dates
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    Enumeration Date     |    07/10/2022
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    2375 MEMPHIS ST STE 206 
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    City                 |    HERNANDO
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    State                |    MS
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    Zip                  |    38632-1757
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    Country              |    US
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    Telephone            |    662-268-7594
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    Fax                  |    662-391-4209
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Provider Business Mailing Address
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    Address Line         |    PO BOX 675 
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    City                 |    NESBIT
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    State                |    MS
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    Zip                  |    38651-0675
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TYRA  ROWELL 
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    Credential           |    
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    Telephone            |    662-769-2019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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