Provider Demographics
NPI:1114450137
Name:THE LINDEMANN COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:THE LINDEMANN COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LINDEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-339-7667
Mailing Address - Street 1:1468 BRIARWOOD RD NE UNIT 903
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-5739
Mailing Address - Country:US
Mailing Address - Phone:470-485-3050
Mailing Address - Fax:770-995-1959
Practice Address - Street 1:1935 CLIFF VALLEY WAY NE STE 119
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2435
Practice Address - Country:US
Practice Address - Phone:470-485-3050
Practice Address - Fax:770-995-1959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0055701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty