SYNERGY COUNSELINGLLC NPI 1104248814

NPI Information

NPI: 1104248814
Provider Name: SYNERGY COUNSELING,LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1780 CENTURY BLVD NE
ATLANTA, GA
ZIP 30345
Phone: (404) 518-0101
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SYNERGY COUNSELING,LLC is an adult mental health clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SYNERGY COUNSELING,LLC NPI is 1104248814. The provider is registered as an organization entity type.

The provider's business location address is:

1780 CENTURY BLVD NE
ATLANTA, GA
ZIP 30345
Phone: (404) 518-0101
Fax: (404) 266-7459

The provider's authorized official is L Matt Wilson .
The authorized official title is Managing Member and has the following contact phone number (404) 364-2240.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 1/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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