Provider Demographics
NPI:1063813756
Name:ROCK SPRINGS POSITIVE COACHING, CARING, AND COUNSELING, INC.
Entity Type:Organization
Organization Name:ROCK SPRINGS POSITIVE COACHING, CARING, AND COUNSELING, INC.
Other - Org Name:ROCK SPRINGS
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MTS, MS
Authorized Official - Phone:404-721-7409
Mailing Address - Street 1:1708 PEACHTREE ST NW # BW
Mailing Address - Street 2:SUITE 425
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2434
Mailing Address - Country:US
Mailing Address - Phone:404-721-7409
Mailing Address - Fax:
Practice Address - Street 1:1708 PEACHTREE ST NW
Practice Address - Street 2:SUITE 425
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2434
Practice Address - Country:US
Practice Address - Phone:404-721-7409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0037401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty