Larri Rose, MS, NCC, LPC
Individual provider Active NPI Professional Counselor · Rex, GA
NPI 1639612062 · NPPES record last updated Dec 3, 2016
Key facts
- NPI
- 1639612062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 008419 (GA)
- Practice address
- 6468 Paula CT
Rex, GA 30273-1636 - Phone
- (770) 639-8434
- NPI assigned
- Dec 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 008419 | GA | Yes |
Addresses
Primary practice location
6468 Paula CT
Rex, GA 30273-1636
Mailing address
6468 Paula CT
Rex, GA 30273-1636
Phone (770) 639-8434
Other providers in Rex, GA
- Quality Care
- Yolanda Nicole Rabb
- Rehab Wellness Works, Inc.,
- Veronica Reid
- Annicia Robison
- Donnita Rountree
- Safe Haven Helpers
- Jessica Esmeralda Salgado
- Lynne D Scott
- Serenity Social Services, LLC
All providers in Rex, 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 Dec 3, 2016. 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.