Providence Counseling & Consulting, LLC
Counselor, Professional in Athens, GA. Organization (NPI-2).
NPI number1003232133
StatusActive
Last updated in NPPESMar 13, 2014
Details
- NPI
- 1003232133
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Counseling & Consulting, LLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2014
- Last updated
- Mar 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC007336 | GA | Yes |
Practice location
500 N Milledge AveSuite 200
Athens, GA 30601-3810
Phone 404-784-2585 · Fax 844-878-9987
Mailing address
500 N Milledge AveSuite 200
Athens, GA 30601-3810
Phone 404-784-2585
Authorized official
Toawondia T Underwood
Counselor
4047842585
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