REAL TALK LET'STALK COUNSELING CONSULTING AND COACHING NPI 1194394312

NPI Information

NPI: 1194394312
Provider Name: REAL TALK LET'STALK COUNSELING, CONSULTING, AND COACHING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 11D2273803

Address:
4151 MEMORIAL DR
DECATUR, GA
ZIP 30032
Phone: (678) 531-7953
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REAL TALK LET'STALK COUNSELING, CONSULTING, AND COACHING is a mental health counselor in Decatur, GA. REAL TALK LET'STALK COUNSELING, CONSULTING, AND COACHING NPI is 1194394312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4151 MEMORIAL DR
DECATUR, GA
ZIP 30032-504
Phone: (678) 531-7953

The provider's authorized official is Christine Ferrin .
The authorized official title is Ceo and has the following contact phone number (678) 531-7953.

The CLIA number assigned to this NPI record is 11D2273803 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2021 and was last updated on 6/22/2021.

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	101YM0800X	Counselor	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: 4/28/2024

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