| South River Counseling & Consulting, Llc | |
|
1430 Starcrest Dr Ne Conyers GA 30012-3830 | |
| (470) 252-8270 | |
| (470) 252-8270 |
| Full Name | South River Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1430 Starcrest Dr Ne, Conyers, Georgia |
| Authorized Official Name and Position | Frances Jill Oldham (THERAPIST/OWNER) |
| Authorized Official Contact | 7703378591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South River Counseling & Consulting, Llc 1430 Starcrest Dr Ne Conyers GA 30012-3830 Ph: (470) 252-8270 | South River Counseling & Consulting, Llc 1430 Starcrest Dr Ne Conyers GA 30012-3830 Ph: (470) 252-8270 |
| NPI Number | 1508344581 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508344581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007661 (Georgia) | Primary |
| 1041C0700X | Social Worker - Clinical | CSW002086 (Georgia) | Secondary |
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