| Providence Counseling & Consulting, Llc | |
|
500 N Milledge Ave Suite 200 Athens GA 30601-3810 | |
| (404) 784-2585 | |
| (844) 878-9987 |
| Full Name | Providence Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 500 N Milledge Ave, Athens, Georgia |
| Authorized Official Name and Position | Toawondia T Underwood (COUNSELOR) |
| Authorized Official Contact | 4047842585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Counseling & Consulting, Llc 500 N Milledge Ave Suite 200 Athens GA 30601-3810 Ph: (404) 784-2585 | Providence Counseling & Consulting, Llc 500 N Milledge Ave Suite 200 Athens GA 30601-3810 Ph: (404) 784-2585 |
| NPI Number | 1003232133 |
|---|---|
| Provider Enumeration Date | 03/13/2014 |
| Last Update Date | 03/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003232133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007336 (Georgia) | Primary |
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