| The Counselors Suite, Llc | |
|
111 10th St Augusta GA 30901-1136 | |
| (706) 339-3855 | |
| Not Available |
| Full Name | The Counselors Suite, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 111 10th St, Augusta, Georgia |
| Authorized Official Name and Position | Felisha Lee (OWNER) |
| Authorized Official Contact | 7063393855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counselors Suite, Llc 111 10th St Augusta GA 30901-1136 Ph: (706) 339-3855 | The Counselors Suite, Llc 111 10th St Augusta GA 30901-1136 Ph: (706) 339-3855 |
| NPI Number | 1043609019 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043609019 | NPI | - | NPPES |
| 003139573A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007016 (Georgia) | Primary |
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