| Georgia Counseling Center, Inc. | |
|
250 Churchill Ct 700 Woodstock GA 30188-6331 | |
| (678) 231-2031 | |
| (678) 231-2031 |
| Full Name | Georgia Counseling Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 250 Churchill Ct, Woodstock, Georgia |
| Authorized Official Name and Position | Benjamin Eric Neal (OWNER) |
| Authorized Official Contact | 6782312031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Counseling Center, Inc. 250 Churchill Ct 700 Woodstock GA 30188-6331 Ph: (678) 231-2031 | Georgia Counseling Center, Inc. 250 Churchill Ct 700 Woodstock GA 30188-6331 Ph: (678) 231-2031 |
| NPI Number | 1700013224 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700013224 | NPI | - | NPPES |
| 092650842A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004155 (Georgia) | Primary |
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