Adult and Child Counseling of Athens LLC
Organization Active NPI Professional Counselor · Athens, GA
NPI 1104665074 · NPPES record last updated May 21, 2024
Key facts
- NPI
- 1104665074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- ADULT AND CHILD COUNSELING OF ATHENS LLC
- Practice address
- 598 S Milledge Ave Ste D
Athens, GA 30605-1262 - Phone
- (706) 919-9392
- NPI assigned
- May 21, 2024
- Organization subpart
- No
Authorized official
- Name
- Shannon Millan, LPC, NCC
- Title
- Director
- Phone
- (706) 919-9392
Practitioners 2
-
Shannon Millan, LAPC
-
Tomekia Holandia Raines, LMSW
National Provider Directory
Locations
598 S Milledge Ave
Ste D
Athens, GA 30605
Phone (404) 441-9567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
598 S Milledge Ave Ste D
Athens, GA 30605-1262
Mailing address
598 S Milledge Ave Ste D
Athens, GA 30605-1262
Phone (706) 919-9392
Other names
- Adult and Child Counseling of Athens
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All providers in Athens, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.