| Organization Name: | FARRELL FAMILY COUNSELING CENTER, LLC |
| NPI Number: | 1164699096 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STARKE R FARRELL (MANAGER) |
| Mailing Address: | 118 N Commerce St Ripley |
| State: | MS US |
| Postal Code: | 386632009 |
| Phone Number: | 6629939024 |
| Fax Number: | 6629939025 |
| NPI Enumeration Date: | 05/09/2008 |
| NPI Last Update Date: | 11/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C6287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |