Athens Counseling & Psychotherapy, Llc | |
1 Huntington Rd Ste 101 Athens GA 30606-7205 | |
(706) 514-1213 | |
(706) 504-9549 |
Full Name | Athens Counseling & Psychotherapy, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1 Huntington Rd Ste 101, Athens, Georgia |
Authorized Official Name and Position | Marielle Angela Stair (OWNER/OPERATOR) |
Authorized Official Contact | 7065141213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Athens Counseling & Psychotherapy, Llc 1 Huntington Rd Ste 101 Athens GA 30606-7205 Ph: (706) 514-1213 | Athens Counseling & Psychotherapy, Llc 1 Huntington Rd Ste 101 Athens GA 30606-7205 Ph: (706) 514-1213 |
NPI Number | 1174094726 |
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Provider Enumeration Date | 12/07/2018 |
Last Update Date | 12/31/2019 |
Certification Date | 12/31/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174094726 | NPI | - | NPPES |
CSW006527 | Other | GA | GA BOARD OF PROF. COUNSELORS, SOCIAL WORKERS, AND MARRIAGE & FAMILY THERAPISTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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