George C Zubowicz, LPC
Individual provider Active NPI Professional Counselor · Newnan, GA
NPI 1497806830 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1497806830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1360 (GA)
- Practice address
- 19 Perry St
Suite B-1
Newnan, GA 30263-1918 - Phone
- (770) 304-9500
- Fax
- (770) 251-6816
- NPI assigned
- Jan 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1360 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Better Way Counseling, Inc | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1360 | GA | Yes |
Addresses
Primary practice location
19 Perry St
Suite B-1
Newnan, GA 30263-1918
Mailing address
865 Judson Bulloch Rd
Warm Springs, GA 31830-2363
Phone (706) 655-2204
Other providers in Newnan, GA
All providers in Newnan, 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 Jul 9, 2007. 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.