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DOUGLAS COUNSELING COACHING & CONSULTING LLC NPI 1003546904


NPI Information

NPI: 1003546904
Provider Name: DOUGLAS COUNSELING, COACHING, & CONSULTING, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1665 VILLAGE PLACE CIR NE
CONYERS, GA
ZIP 30012
Phone: (706) 519-3030
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DOUGLAS COUNSELING, COACHING, & CONSULTING, LLC is a clinical social worker in Conyers, GA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. DOUGLAS COUNSELING, COACHING, & CONSULTING, LLC NPI is 1003546904. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1665 VILLAGE PLACE CIR NE
CONYERS, GA
ZIP 30012-109
Phone: (706) 519-3030

The provider's authorized official is Torry Darnell Douglas .
The authorized official title is Account & Office Manager and has the following contact phone number (470) 331-4654.

The enumeration date for this NPI number is 6/14/2022 and was last updated on 6/14/2022.


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
11041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11841683737OTHERGEORGIANPPES

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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