MEDICARE: COPING CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1073136131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COPING CENTER INC

Provider Business Mailing Address
First Line	:	PO BOX 64
Second Line	:
City	:	HOLLANDALE
State	:	MS
Zip	:	38748-0064
Country	:	US
Telephone Number	:	662-394-5101
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 BAILEY DR
Second Line	:
City	:	HOLLANDALE
State	:	MS
Zip	:	38748-3206
Country	:	US
Telephone Number	:	662-394-5101
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MRS. SYLVIA COPE DUNCAN
Credential	:	LPC
Telephone Number	:	662-394-5101

Provider Enumeration Date	:	05/24/2020
Last Update Date	:	06/25/2020

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Directions to “COPING CENTER INC ” Practice Location

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