Provider Demographics
NPI:1194197244
Name:DURDEN CONSULTING SERVICES
Entity Type:Organization
Organization Name:DURDEN CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENNEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:DURDEN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:912-988-3649
Mailing Address - Street 1:5910 GA HIGHWAY 21 S
Mailing Address - Street 2:UNIT 6
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-5505
Mailing Address - Country:US
Mailing Address - Phone:912-988-3649
Mailing Address - Fax:
Practice Address - Street 1:3114 AUGUSTA TECH DR
Practice Address - Street 2:STE 204A
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-3300
Practice Address - Country:US
Practice Address - Phone:706-751-4160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty