Provider Demographics
NPI:1225485980
Name:ATLANTA COUNSELING AND WELLNESS, LLC
Entity Type:Organization
Organization Name:ATLANTA COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:B
Authorized Official - Last Name:POMERNAZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-380-0044
Mailing Address - Street 1:1760 CENTURY BLVD NE STE B
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3310
Mailing Address - Country:US
Mailing Address - Phone:770-380-0044
Mailing Address - Fax:
Practice Address - Street 1:1760 CENTURY BLVD NE STE B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3310
Practice Address - Country:US
Practice Address - Phone:770-380-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC0003920101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty