Provider Demographics
NPI:1437012879
Name:BEAUTY FOR ASHES COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:BEAUTY FOR ASHES COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:901-734-7050
Mailing Address - Street 1:9356 GOODMAN RD UNIT 3
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-1700
Mailing Address - Country:US
Mailing Address - Phone:662-469-6270
Mailing Address - Fax:855-975-2540
Practice Address - Street 1:9356 GOODMAN RD UNIT 3
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-1700
Practice Address - Country:US
Practice Address - Phone:662-469-6270
Practice Address - Fax:855-975-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty