| Centerside Counseling & Consulting Llc | |
|
1755 N Brown Rd Ste 200 Lawrenceville GA 30043-2018 | |
| (678) 365-3695 | |
| Not Available |
| Full Name | Centerside Counseling & Consulting Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1755 N Brown Rd Ste 200, Lawrenceville, Georgia |
| Authorized Official Name and Position | Brandy Wiseman (CEO) |
| Authorized Official Contact | 6783653695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerside Counseling & Consulting Llc 1755 N Brown Rd Ste 200 Lawrenceville GA 30043-2018 Ph: (678) 365-3695 | Centerside Counseling & Consulting Llc 1755 N Brown Rd Ste 200 Lawrenceville GA 30043-2018 Ph: (678) 365-3695 |
| NPI Number | 1982213716 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982213716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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