Firefly Wellness Counseling, LLC
Organization Active NPI Professional Counselor · Avondale Estates, GA
NPI 1992210587 · NPPES record last updated Dec 11, 2018
Key facts
- NPI
- 1992210587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC009752 (GA)
- Legal business name
- FIREFLY WELLNESS COUNSELING, LLC
- Practice address
- 151 Locust St
Avondale Estates, GA 30002 - Phone
- (404) 478-3016
- NPI assigned
- Dec 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Anne Rice
- Title
- Owner/Therapist
- Phone
- (404) 478-3016
Practitioners 1
-
Anne Rice, LPC, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260622003598 | GA | Part B Supplier - Clinic/Group Practice | 6901379957 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottdale, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | LPC009752 | GA | Yes |
Addresses
Primary practice location
151 Locust St
Avondale Estates, GA 30002
Mailing address
151 Locust St
Avondale Estates, GA 30002-1050
Other practice location 1
118 E Maple St
Decatur, GA 30030-3314
Phone (404) 478-3016
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- Christine Frederick
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All providers in Avondale Estates, 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 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.