CARE COUNSELING & PSYCHOLOGICAL SERVICES LLC NPI 1487898144

NPI Information

NPI: 1487898144
Provider Name: CARE COUNSELING & PSYCHOLOGICAL SERVICES, LLC

Doing Business As: CROWN COUNSELING & PSYCHOLOGICAL SERVICES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4319 COVINGTON HWY
SUITE 214
DECATUR, GA
ZIP 30035
Phone: (404) 284-1191
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CARE COUNSELING & PSYCHOLOGICAL SERVICES, LLC is a professional counselor in Decatur, GA. CARE COUNSELING & PSYCHOLOGICAL SERVICES, LLC NPI is 1487898144. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crown Counseling & Psychological Services.

The provider's business location address is:

4319 COVINGTON HWY
SUITE 214
DECATUR, GA
ZIP 30035-210
Phone: (404) 284-1191
Fax: (404) 284-1807

The provider's authorized official is Lydia J Canty .
The authorized official title is Director and has the following contact phone number (404) 734-0954.

The enumeration date for this NPI number is 4/26/2009 and was last updated on 4/26/2009.

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	101YP2500X	Counselor	Professional	APC002129	GEORGIA	No
2	103TC1900X	Psychologist	Counseling	PSY003237	GEORGIA	No
3	101YP2500X	Counselor	Professional	LPC004261	GEORGIA	Yes

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
1	316802580	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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