| Community Counseling, Inc. | |
|
3950 Cobb Pkwy Nw Suite 708 Acworth GA 30101-9532 | |
| (678) 640-1020 | |
| Not Available |
| Full Name | Community Counseling, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3950 Cobb Pkwy Nw, Acworth, Georgia |
| Authorized Official Name and Position | Marissa B Namirr (PRESIDENT) |
| Authorized Official Contact | 6786401020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling, Inc. 3950 Cobb Pkwy Nw Suite 708 Acworth GA 30101-9532 Ph: (678) 640-1020 | Community Counseling, Inc. 3950 Cobb Pkwy Nw Suite 708 Acworth GA 30101-9532 Ph: (678) 640-1020 |
| NPI Number | 1063606598 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063606598 | NPI | - | NPPES |
| 00000000000000000 | Other | GA | APPLIED FOR MEDICAID NUMB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004505 (Georgia) | Primary |
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