SOUTH RIVER COUNSELING & CONSULTING LLC NPI 1508344581

NPI Information

NPI: 1508344581
Provider Name: SOUTH RIVER COUNSELING & CONSULTING, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1430 STARCREST DR NE
CONYERS, GA
ZIP 30012
Phone: (470) 252-8270
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SOUTH RIVER COUNSELING & CONSULTING, LLC is a professional counselor in Conyers, GA. SOUTH RIVER COUNSELING & CONSULTING, LLC NPI is 1508344581. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1430 STARCREST DR NE
CONYERS, GA
ZIP 30012-830
Phone: (470) 252-8270
Fax: (470) 252-8270

The provider's authorized official is Frances Jill Oldham .
The authorized official title is Therapist/owner and has the following contact phone number (770) 337-8591.

The enumeration date for this NPI number is 8/1/2018 and was last updated on 8/1/2018.

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	1041C0700X	Social Worker	Clinical	CSW002086	GEORGIA	No
2	101YP2500X	Counselor	Professional	LPC007661	GEORGIA	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

NPI Synchronization or Removal

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