Provider Demographics
NPI:1164821237
Name:UNITY COUNSELING AND TRAINING CENTER
Entity Type:Organization
Organization Name:UNITY COUNSELING AND TRAINING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MCKEISHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-687-9445
Mailing Address - Street 1:1351 AMBERCREST WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30168-7058
Mailing Address - Country:US
Mailing Address - Phone:770-687-9445
Mailing Address - Fax:
Practice Address - Street 1:1351 AMBERCREST WAY
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30168-7058
Practice Address - Country:US
Practice Address - Phone:770-687-9445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health