Provider Demographics
NPI:1083168652
Name:POLLARD COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:POLLARD COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-259-5980
Mailing Address - Street 1:302 S THORNTON AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8264
Mailing Address - Country:US
Mailing Address - Phone:706-529-5980
Mailing Address - Fax:706-529-5982
Practice Address - Street 1:302 S THORNTON AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8264
Practice Address - Country:US
Practice Address - Phone:706-529-5980
Practice Address - Fax:706-529-5982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA14088833101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty