| Pathlight Counseling Llc | |
|
4390 Earney Rd Ste 140 Woodstock GA 30188-5687 | |
| (706) 675-5241 | |
| (706) 553-4157 |
| Full Name | Pathlight Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4390 Earney Rd Ste 140, Woodstock, Georgia |
| Authorized Official Name and Position | James Brittian Parramore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6785682285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathlight Counseling Llc 4390 Earney Rd Ste 140 Woodstock GA 30188-5687 Ph: (706) 675-5241 | Pathlight Counseling Llc 4390 Earney Rd Ste 140 Woodstock GA 30188-5687 Ph: (706) 675-5241 |
| NPI Number | 1902388432 |
|---|---|
| Provider Enumeration Date | 08/31/2018 |
| Last Update Date | 06/02/2020 |
| Certification Date | 06/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902388432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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