| Northwest Counseling Professionals | |
|
5604 Wendy Bagwell Pkwy Ste 811 Hiram GA 30141-7819 | |
| (678) 720-2119 | |
| (678) 730-7242 |
| Full Name | Northwest Counseling Professionals |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5604 Wendy Bagwell Pkwy Ste 811, Hiram, Georgia |
| Authorized Official Name and Position | Carla Garvin (THERAPIST) |
| Authorized Official Contact | 6783657243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Counseling Professionals 5604 Wendy Bagwell Pkwy Ste 811 Hiram GA 30141-7819 Ph: (678) 720-2119 | Northwest Counseling Professionals 5604 Wendy Bagwell Pkwy Ste 811 Hiram GA 30141-7819 Ph: (678) 720-2119 |
| NPI Number | 1205563384 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205563384 | NPI | - | NPPES |
| LPC04621 | Other | GA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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