Connect Four Counseling LLC
Community/Behavioral Health in Mcdonough, GA. Organization (NPI-2).
NPI number1083086581
StatusActive
Last updated in NPPESOct 22, 2015
Details
- NPI
- 1083086581
- Entity type
- Organization (NPI-2)
- Legal business name
- Connect Four Counseling LLC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2015
- Last updated
- Oct 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | CSW004801 | GA | Yes |
Practice location
2020 Avalon PkwySuite 375
Mcdonough, GA 30253-3087
Phone 678-833-1664 · Fax 678-604-8585
Mailing address
2020 Avalon PkwySuite 375
Mcdonough, GA 30253-3087
Phone 678-833-1664 · Fax 678-604-8585
Authorized official
Shawnette Nichole Miller
Clinical Social Worker - Therapist
6788331664
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