MEDICARE: EL ROI COUNSELING SERVICES, LLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1114740842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL ROI COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	407 FRIDAY HARBOUR
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-4126
Country	:	US
Telephone Number	:	601-720-1841
Fax Number	:

Provider Business Practice Location Address
First Line	:	4659 TERRY RD
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39212-5621
Country	:	US
Telephone Number	:	769-218-9517
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. YOLANDA ROBINSON
Credential	:
Telephone Number	:	769-218-9517

Provider Enumeration Date	:	11/01/2024
Last Update Date	:	11/01/2024

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