Provider Demographics
NPI:1699510008
Name:A NEW YOU COUNSELING & COUNSULTING, LLC
Entity type:Organization
Organization Name:A NEW YOU COUNSELING & COUNSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LATIBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:601-502-6794
Mailing Address - Street 1:301 INDIAN MOUND RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-4903
Mailing Address - Country:US
Mailing Address - Phone:601-517-2667
Mailing Address - Fax:
Practice Address - Street 1:405 BRIARWOOD DR STE 108R
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-3032
Practice Address - Country:US
Practice Address - Phone:601-502-6794
Practice Address - Fax:769-233-7860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty