Organization Name: | BRUNO COUNSELING AND CONSULTING SERVICES, LLC |
NPI Number: | 1922492321 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARRYL WAYNE BRUNO (OWNER) |
Mailing Address: | 110 W Erlanger St Poplarville |
State: | MS US |
Postal Code: | 394703009 |
Phone Number: | 6017465125 |
Fax Number: | 8443489002 |
NPI Enumeration Date: | 03/24/2015 |
NPI Last Update Date: | 03/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C8179 |
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 |