Provider Demographics
NPI:1235305137
Name:APPLING COUNSELING CENTER
Entity Type:Organization
Organization Name:APPLING COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LASONDA
Authorized Official - Middle Name:GIBBS
Authorized Official - Last Name:ROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-367-4614
Mailing Address - Street 1:755 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BAXLEY
Mailing Address - State:GA
Mailing Address - Zip Code:31513-0130
Mailing Address - Country:US
Mailing Address - Phone:912-367-4614
Mailing Address - Fax:912-367-9048
Practice Address - Street 1:755 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BAXLEY
Practice Address - State:GA
Practice Address - Zip Code:31513-0130
Practice Address - Country:US
Practice Address - Phone:912-367-4614
Practice Address - Fax:912-367-9048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261QM0850X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health