Advanced Counseling Services, LLC
Organization Active NPI Professional Counselor · Marietta, GA
NPI 1497081749 · NPPES record last updated Oct 21, 2009
Key facts
- NPI
- 1497081749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC004195 (GA)
- Legal business name
- ADVANCED COUNSELING SERVICES, LLC
- Practice address
- 2820 Lassiter Road
Suite a-150
Marietta, GA 30062 - Phone
- (678) 585-9260
- Fax
- (678) 585-9261
- NPI assigned
- Oct 21, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Renea J Oseni, PHD
- Title
- Owner/Therapist
- Phone
- (678) 585-9260
National Provider Directory
Locations
2820 Lassiter Rd
Ste A150
Marietta, GA 30062
Phone (404) 838-8985
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | LPC004195 | GA | Yes |
| Marriage & Family Therapist |
106H00000X | MFT637 | LA |
Addresses
Primary practice location
2820 Lassiter Road
Suite a-150
Marietta, GA 30062
Mailing address
2820 Lassiter Road
Suite a-150
Marietta, GA 30062
Phone (678) 585-9260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 872292623A | Medicaid | GA |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2009. 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.