| Douglas Counseling, Coaching, & Consulting, Llc | |
|
1665 Village Place Cir Ne Conyers GA 30012-7109 | |
| (706) 519-3030 | |
| Not Available |
| Full Name | Douglas Counseling, Coaching, & Consulting, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1665 Village Place Cir Ne, Conyers, Georgia |
| Authorized Official Name and Position | Torry Darnell Douglas (ACCOUNT & OFFICE MANAGER) |
| Authorized Official Contact | 4703314654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Counseling, Coaching, & Consulting, Llc 2274 Salem Rd Se Ste 106-1409 Conyers GA 30013-2097 Ph: (470) 331-4654 | Douglas Counseling, Coaching, & Consulting, Llc 1665 Village Place Cir Ne Conyers GA 30012-7109 Ph: (706) 519-3030 |
| NPI Number | 1003546904 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003546904 | NPI | - | NPPES |
| 1841683737 | Other | GA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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