| Advanced Counseling Services, Llc | |
|
2820 Lassiter Road Suite A-150 Marietta GA 30062 | |
| (678) 585-9260 | |
| (678) 585-9261 |
| Full Name | Advanced Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2820 Lassiter Road, Marietta, Georgia |
| Authorized Official Name and Position | Renea J Oseni (OWNER/THERAPIST) |
| Authorized Official Contact | 6785859260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Counseling Services, Llc 2820 Lassiter Road Suite A-150 Marietta GA 30062 Ph: (678) 585-9260 | Advanced Counseling Services, Llc 2820 Lassiter Road Suite A-150 Marietta GA 30062 Ph: (678) 585-9260 |
| NPI Number | 1497081749 |
|---|---|
| Provider Enumeration Date | 10/21/2009 |
| Last Update Date | 10/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497081749 | NPI | - | NPPES |
| 872292623A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004195 (Georgia) | Primary |
| 106H00000X | Marriage & Family Therapist | MFT637 (Louisiana) | Secondary |
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