| Orlando Counseling & Supervision, Llc | |
|
5399 N Peachtree Rd Atlanta GA 30338-3101 | |
| (678) 477-8747 | |
| Not Available |
| Full Name | Orlando Counseling & Supervision, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5399 N Peachtree Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Douglass Hart Paul (OWNER/OPERATOR) |
| Authorized Official Contact | 6784778747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Counseling & Supervision, Llc 5399 N Peachtree Rd Atlanta GA 30338-3101 Ph: (678) 477-8747 | Orlando Counseling & Supervision, Llc 5399 N Peachtree Rd Atlanta GA 30338-3101 Ph: (678) 477-8747 |
| NPI Number | 1043906662 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043906662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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