| Southeastern Counseling, Llc | |
|
3050 Five Forks Trickum Rd Sw # D626 Lilburn GA 30047-1810 | |
| (404) 576-8227 | |
| Not Available |
| Full Name | Southeastern Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3050 Five Forks Trickum Rd Sw # D626, Lilburn, Georgia |
| Authorized Official Name and Position | Taylor Henry (OWNER) |
| Authorized Official Contact | 4045768227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Counseling, Llc 3050 Five Forks Trickum Rd Sw # D626 Lilburn GA 30047-1810 Ph: (404) 576-8227 | Southeastern Counseling, Llc 3050 Five Forks Trickum Rd Sw # D626 Lilburn GA 30047-1810 Ph: (404) 576-8227 |
| NPI Number | 1093396517 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093396517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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