Organization · NPI-2

Active Resilience Counseling LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Atlanta, GA

NPI number1407673148

StatusActive

Last updated in NPPESSep 24, 2024

Details

NPI: 1407673148
Entity type: Organization (NPI-2)
Legal business name: Active Resilience Counseling LLC
Organization subpart: No
Enumeration date: Sep 24, 2024
Certification date: Sep 24, 2024
Last updated: Sep 24, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
1041C0700X	Social Worker, Clinical	–	–
171400000X	Health & Wellness Coach	–	–
171M00000X	Case Manager/Care Coordinator	–	–

Practice location

659 Auburn Ave Ne Apt 228
Atlanta, GA 30312-1980

Phone 678-658-3699

Mailing address

659 Auburn Ave Ne Apt 228
Atlanta, GA 30312-1980

Phone 678-658-3699

Authorized official

Junia Baker
Clinical Director
6786583699

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.