Provider Demographics
NPI:1235685082
Name:EIRAM COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:EIRAM COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIHESHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEMON-DEACON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-484-7599
Mailing Address - Street 1:5710 OGEECHEE RD STE 200
Mailing Address - Street 2:RM 271
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-9559
Mailing Address - Country:US
Mailing Address - Phone:912-275-4967
Mailing Address - Fax:912-228-3440
Practice Address - Street 1:6605 ABERCORN STREET
Practice Address - Street 2:SUITE 108
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-275-4967
Practice Address - Fax:912-228-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA508334101YA0400X
GALPC004748101YP2500X
GA465919101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty