Tidwell& Miller Counseling Services, Llc
Clinical Social Worker in Decatur, GA(View on Map)
Legal Business Name
Tidwell& Miller Counseling Services, Llc
NPI Number
1902141617
NPI Type
Organization
Enumeration Date
12/06/2012
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
CSW000649
Contact
Information
Purpose
Mailing
Location
Address
215 CHURCH ST STE 105
215 CHURCH ST STE 105
City
Decatur
Decatur
State
GA
GA
Postal Code
30030-3330
30030-3330
Country
US
US
Telephone Number
(404) 626-9690
(404) 626-9690
Authorized Official
Name
Ms. Phyllis Miller
Title or Position
MANAGING PARTNER
Telephone Number
(404) 626-9690
Identifiers
Identifier
1053692848
1750602173
003112377A
Identifier State
GA
GA
GA
Identifier Issuer
INDIVIDUAL NPI
ORGANIZATIONAL NPI
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/06/2012
Provider Address
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