Provider Demographics
NPI:1043921661
Name:RESPONSE AND PREVENTION COUNSELING
Entity Type:Organization
Organization Name:RESPONSE AND PREVENTION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAST
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC
Authorized Official - Phone:770-653-5974
Mailing Address - Street 1:173 KILGORE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30116-1899
Mailing Address - Country:US
Mailing Address - Phone:770-653-5974
Mailing Address - Fax:678-890-1099
Practice Address - Street 1:173 KILGORE RD STE 206
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30116-1899
Practice Address - Country:US
Practice Address - Phone:770-653-5974
Practice Address - Fax:678-890-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health