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General NPI Number Information
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NPI Number | 1790593481
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Entity Type | Organization
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Legal Business Name | STARKS COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 8894 BENT GRASS LOOP E
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City | SOUTHAVEN
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State | MS
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Zip | 38671-5344
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Country | US
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Telephone | 662-806-7259
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Fax |
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Provider Business Mailing Address
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Address Line | 429 E COMMERCE ST # 167
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City | HERNANDO
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State | MS
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Zip | 38632-2348
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Country | US
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Telephone | 662-806-7259
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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 | DR. J'KEA JAMARA STARKS
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Credential | DPC, LPC
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Telephone | 662-806-7259
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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 | 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 #3
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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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