| Counseling And Life Coach Services Llc | |
|
3455 Lawrenceville Suwanee Rd Suite D Suwanee GA 30024-6425 | |
| (404) 496-5041 | |
| (404) 424-9383 |
| Full Name | Counseling And Life Coach Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 3455 Lawrenceville Suwanee Rd, Suwanee, Georgia |
| Authorized Official Name and Position | Andrea D Sims (OWNER (COUNSELOR)) |
| Authorized Official Contact | 4044965041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Life Coach Services Llc 722 Collins Hill Rd Suite H-311 Lawrenceville GA 30046-4118 Ph: (404) 496-5041 | Counseling And Life Coach Services Llc 3455 Lawrenceville Suwanee Rd Suite D Suwanee GA 30024-6425 Ph: (404) 496-5041 |
| NPI Number | 1255578662 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 02/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255578662 | NPI | - | NPPES |
| 1790855963 | Other | GA | NOT SURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC790 (Georgia) | Primary |
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