Nevaeh Counseling Services LLC
Counselor, Mental Health in Jonesboro, GA. Organization (NPI-2).
NPI number1063804151
StatusActive
Last updated in NPPESJul 6, 2015
Details
- NPI
- 1063804151
- Entity type
- Organization (NPI-2)
- Legal business name
- Nevaeh Counseling Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2015
- Last updated
- Jul 6, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CSW004505 | GA | Yes |
Practice location
217 Arrowhead BlvdSuite A4
Jonesboro, GA 30236-1169
Phone 678-545-0498
Mailing address
217 Arrowhead BlvdSuite A4
Jonesboro, GA 30236-1169
Phone 678-545-0498
Authorized official
Deloris Edwards
Owner
6788580311
Is something wrong?
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