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General NPI Number Information
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NPI Number | 1477310324
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Entity Type | Organization
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Legal Business Name | BRUCE PROFESSIONAL COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 114 JEFFERSON DAVIS BLVD
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City | NATCHEZ
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State | MS
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Zip | 39120-5104
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Country | US
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Telephone | 601-653-4581
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Fax | 601-653-4582
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Provider Business Mailing Address
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Address Line | 114 JEFFERSON DAVIS BLVD
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City | NATCHEZ
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State | MS
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Zip | 39120-5104
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Country | US
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Telephone | 601-653-4581
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Fax | 601-653-4582
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Authorized Official
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Title or Position | OWNER
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Name | DR. TINA BRUCE
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Credential | LPC
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Telephone | 601-807-3833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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