Dorothy Berksteiner, LPC

Individual provider Active NPI Professional Counselor · Morrow, GA

NPI 1922558980 · NPPES record last updated Oct 13, 2016

Key facts

NPI
1922558980
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC007611 (GA)
Practice address
1792 Mount Zion Rd
Morrow, GA 30260-4114
Phone
(770) 960-2058
Fax
(770) 960-2024
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPC007611GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton Center CSB Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC007611 GA
Professional Counselor 101YP2500X LPC007611 GA Yes

Addresses

Primary practice location

1792 Mount Zion Rd
Morrow, GA 30260-4114

Mailing address

121 Patricia LN
Fayetteville, GA 30214-1008

Other names

  • Ms. Dorothy Berksteiner Professional name

Other providers in Morrow, GA

All providers in Morrow, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.