Counseling Center Of Georgia
Legal Business Name
Counseling Center Of Georgia
NPI Number
1275176075
NPI Type
Organization
Enumeration Date
10/24/2019
Specialties
(Taxonomies)Name
Code
101YA0400X
106E00000X
106S00000X
103K00000X
1041C0700X
253J00000X
106H00000X
101YM0800X
101YP2500X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
7977 WOODS LN
500 LANIER AVE W STE 908
City
Jonesboro
Fayetteville
State
GA
GA
Postal Code
30236-3976
30214-7641
Country
US
US
Telephone Number
(770) 865-9118
(770) 865-9118
Authorized Official
Name
Dr. Titi Ipadeola
Title or Position
CEO
Telephone Number
(770) 865-9118
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/24/2019