Organization · NPI-2

712 Q.A.C.C. Counseling For The Soul

Counselor, Mental Health · Savannah, GA

NPI number1922633692

StatusActive

Last updated in NPPESMar 3, 2020

Details

NPI: 1922633692
Entity type: Organization (NPI-2)
Legal business name: 712 Q.A.C.C. Counseling For The Soul
Organization subpart: No
Enumeration date: Mar 3, 2020
Certification date: Mar 3, 2020
Last updated: Mar 3, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes

Practice location

13051 Abercorn St Ste B3 526
Savannah, GA 31419-3141

Phone 678-744-5603 · Fax 877-278-1045

Mailing address

Po Box 7174
Garden City, GA 31418-7174

Phone 678-744-5603

Authorized official

Andrina Jordan
Founder/Ceo
6787445603

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