Deep Waters Counseling, LLC
Counselor, Mental Health in Athens, GA. Organization (NPI-2).
NPI number1548083751
StatusActive
Last updated in NPPESNov 5, 2024
Details
- NPI
- 1548083751
- Entity type
- Organization (NPI-2)
- Legal business name
- Deep Waters Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Nov 5, 2024
- Certification date
- Nov 5, 2024
- Last updated
- Nov 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
598 S Milledge Ave Ste 5Athens, GA 30605-1262
Phone 770-676-1868
Mailing address
752 Fitzroy DrAthens, GA 30606-0790
Phone 770-870-7655
Authorized official
Aubrey Gold
President
7706761868
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