Provider Demographics
NPI:1164968988
Name:RESILIENCE FACTOR COUNSELING AND EDUCATION LLC
Entity Type:Organization
Organization Name:RESILIENCE FACTOR COUNSELING AND EDUCATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-539-6473
Mailing Address - Street 1:PO BOX 5404
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30154-0007
Mailing Address - Country:US
Mailing Address - Phone:404-539-6473
Mailing Address - Fax:678-391-8067
Practice Address - Street 1:107 ENTERPRISE PATH
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2689
Practice Address - Country:US
Practice Address - Phone:404-539-6473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008970261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)