Provider Demographics
NPI:1629896915
Name:DREAMS OVER DISTRACTIONS CONSULTING & COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:DREAMS OVER DISTRACTIONS CONSULTING & COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:C
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:662-401-1712
Mailing Address - Street 1:1308 MICHAEL CIR
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-6111
Mailing Address - Country:US
Mailing Address - Phone:662-401-1712
Mailing Address - Fax:
Practice Address - Street 1:1800 W MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-3256
Practice Address - Country:US
Practice Address - Phone:662-401-1712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty