Athens Counseling & Psychotherapy, LLC

Organization Active NPI Clinical Social Worker · Athens, GA

NPI 1174094726 · NPPES record last updated Dec 31, 2019

Key facts

NPI
1174094726
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
ATHENS COUNSELING & PSYCHOTHERAPY, LLC
Practice address
1 Huntington Rd Ste 101
Athens, GA 30606-7205
Phone
(706) 514-1213
Fax
(706) 504-9549
NPI assigned
Dec 7, 2018
Organization subpart
No

Authorized official

Name
Ms. Marielle Angela Stair, LCSW NPI 1962973529
Title
Owner/Operator
Phone
(706) 514-1213

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

119 Sycamore Dr
Athens, GA 30606
Phone (706) 340-6944

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1 Huntington Rd Ste 101
Athens, GA 30606-7205

Mailing address

1 Huntington Rd Ste 101
Athens, GA 30606-7205
Phone (706) 514-1213

Other identifiers

IdentifierTypeStateIssuer
CSW006527OtherGAGA BOARD OF PROF. COUNSELORS, SOCIAL WORKERS, AND MARRIAGE & FAMILY THERAPISTS

Other providers in Athens, GA

All providers in Athens, GA · Clinical Social Worker in Georgia

Sources for this page

Verify at the official NPI Registry.