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Staci Pfeiffer-Cook Lpc, LLC

Counselor in Athens, GA. Organization (NPI-2).

NPI number1750964458
StatusActive
Last updated in NPPESApr 30, 2021

Details

NPI
1750964458
Entity type
Organization (NPI-2)
Legal business name
Staci Pfeiffer-Cook Lpc, LLC
Organization subpart
No
Enumeration date
Apr 30, 2021
Certification date
Apr 30, 2021
Last updated
Apr 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
101YP2500X Counselor, Professional––
103T00000X Psychologist––
104100000X Social Worker––
1041C0700X Social Worker, Clinical––

Other names

  • The Banyan Tree Center (Doing Business As)

Practice location

1 Huntington Rd Ste 103
Athens, GA 30606-7205

Phone 706-850-7041 · Fax 706-850-7042

Mailing address

1 Huntington Rd Ste 103
Athens, GA 30606-7205

Phone 706-850-7041 · Fax 706-850-7042

Authorized official

Staci Pfeiffer
Founding Clinical Director
7068507041

Is something wrong?

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