COMMUNITY COUNSELING INC. NPI 1063606598

NPI Information

NPI: 1063606598
Provider Name: COMMUNITY COUNSELING, INC.
Classification: Counselor - 101YP2500X
Specialization: Professional
Entity Type: Organization
Address: 3950 COBB PKWY NW
SUITE 708
ACWORTH, GA
ZIP 30101
Phone: (678) 640-1020

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NPI Details

COMMUNITY COUNSELING, INC. is a professional counselor in Acworth, GA. COMMUNITY COUNSELING, INC. NPI is 1063606598. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3950 COBB PKWY NW
SUITE 708
ACWORTH, GA
ZIP 30101-532
Phone: (678) 640-1020

The provider's authorized official is Marissa B Namirr .
The authorized official title is President and has the following contact phone number (678) 640-1020.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 8/28/2007.

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	LPC004505	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	00000000000000000	OTHER	GEORGIA	APPLIED FOR MEDICAID NUMB

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: 11/21/2025

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