Georcol L Gomillion, LPC
Counselor, Mental Health in Atlanta, GA. Individual provider (NPI-1).
NPI number1215465836
StatusActive
Last updated in NPPESMay 22, 2023
Details
- NPI
- 1215465836
- Entity type
- Individual (NPI-1)
- Name
- Ms. Georcol L Gomillion
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2017
- Certification date
- May 22, 2023
- Last updated
- May 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPC013763 | GA | Yes |
Other names
- Georcol L Gomillion (Other Name)
Practice location
285 W Wieuca Rd Ne # 4260Atlanta, GA 30342-3321
Phone 404-852-0794
Mailing address
285 W Wieuca Rd Ne # 4260Atlanta, GA 30342-3321
Phone 404-852-0794
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