| Counselorga, Inc. | |
|
12590 Broadwell Rd Suite 100 Alpharetta GA 30004-6700 | |
| (770) 656-9711 | |
| Not Available |
| Full Name | Counselorga, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12590 Broadwell Rd, Alpharetta, Georgia |
| Authorized Official Name and Position | John Harvey Pruett (OWNER/PRESIDENT) |
| Authorized Official Contact | 7706569711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counselorga, Inc. 12590 Broadwell Rd Suite 100 Alpharetta GA 30004-6700 Ph: (770) 656-9711 | Counselorga, Inc. 12590 Broadwell Rd Suite 100 Alpharetta GA 30004-6700 Ph: (770) 656-9711 |
| NPI Number | 1770736373 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 09/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770736373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004591 (Georgia) | Primary |
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