MARIETTA WEST COBB COUNSELING CENTER INC. NPI 1558528828

NPI Information

NPI: 1558528828
Provider Name: MARIETTA WEST COBB COUNSELING CENTER, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
707 WHITLOCK AVE SW STE H10
MARIETTA, GA
ZIP 30064
Phone: (770) 415-0880
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MARIETTA WEST COBB COUNSELING CENTER, INC. is a professional counselor in Marietta, GA. MARIETTA WEST COBB COUNSELING CENTER, INC. NPI is 1558528828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

707 WHITLOCK AVE SW STE H10
MARIETTA, GA
ZIP 30064-098
Phone: (770) 415-0880

The provider's authorized official is Terri Abraham .
The authorized official title is Ceo and has the following contact phone number (770) 591-7518.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 2/26/2019.

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	003709	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	5732533	OTHER	GEORGIA	AETNA
2	10063297	OTHER	GEORGIA	AMERIGROUP
3	1427124593	OTHER	GEORGIA	BCBS
4	10063295	OTHER	GEORGIA	AMERIGROUP
5	129577652A	MEDICAID	GEORGIA
6	726881000	OTHER	GEORGIA	MAGELLAN

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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