VICTORY CHILD & ADOLESCENT COUNSELING NPI 1922749837

NPI Information

NPI: 1922749837
Provider Name: VICTORY CHILD & ADOLESCENT COUNSELING
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1247 TUSCANY DR STE B1
BRASELTON, GA
ZIP 30517
Phone: (678) 465-8665
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VICTORY CHILD & ADOLESCENT COUNSELING is a mental health (including community mental health center) clinic center in Braselton, GA. VICTORY CHILD & ADOLESCENT COUNSELING NPI is 1922749837. The provider is registered as an organization entity type.

The provider's business location address is:

1247 TUSCANY DR STE B1
BRASELTON, GA
ZIP 30517-561
Phone: (678) 465-8665

The provider's authorized official is Amberly Ellis .
The authorized official title is Professional Counselor and has the following contact phone number (678) 465-8665.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 4/5/2022.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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