Provider Demographics
NPI:1225231814
Name:PRIVACY FIRST COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:PRIVACY FIRST COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-790-6434
Mailing Address - Street 1:3714 WOODLAKE RD
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-6560
Mailing Address - Country:US
Mailing Address - Phone:706-790-7948
Mailing Address - Fax:706-790-7948
Practice Address - Street 1:3114 AUGUSTA TECH DR
Practice Address - Street 2:SUITE 203
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-3300
Practice Address - Country:US
Practice Address - Phone:706-790-6434
Practice Address - Fax:706-790-7948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003892101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty