| Transitional Counseling Of Georgia, Llc | |
|
165 Dekalb Industrial Way Suite G-3 Decatur GA 30030-2230 | |
| (770) 361-4627 | |
| (770) 995-1959 |
| Full Name | Transitional Counseling Of Georgia, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 165 Dekalb Industrial Way, Decatur, Georgia |
| Authorized Official Name and Position | Lynette Clark (OFFICE MANAGER) |
| Authorized Official Contact | 7703397667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Counseling Of Georgia, Llc 3442 Kensington Parc Cir Avondale Estates GA 30002-1779 Ph: (770) 361-4627 | Transitional Counseling Of Georgia, Llc 165 Dekalb Industrial Way Suite G-3 Decatur GA 30030-2230 Ph: (770) 361-4627 |
| NPI Number | 1760834071 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760834071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC008814 (Georgia) | Primary |
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