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General NPI Number Information
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NPI Number | 1497380794
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Entity Type | Organization
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Legal Business Name | FINESSE MENTAL HEALTH WELLNESS AND COUNSELING SERVICES
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 716 1/2 23RD AVE
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City | MERIDIAN
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State | MS
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Zip | 39301-5013
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Country | US
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Telephone | 601-701-3206
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 4563
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City | MERIDIAN
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State | MS
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Zip | 39304
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Country | US
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Telephone | 601-701-3206
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | CARVAN LORRAINE CARTER
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Credential |
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Telephone | 601-701-3206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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