Provider Demographics
NPI:1275256141
Name:KNOW YOUR WORTH COUNSELING AND COACHING
Entity Type:Organization
Organization Name:KNOW YOUR WORTH COUNSELING AND COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:478-955-5855
Mailing Address - Street 1:404 N LAKE DR
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:GA
Mailing Address - Zip Code:31069-8402
Mailing Address - Country:US
Mailing Address - Phone:478-955-5855
Mailing Address - Fax:478-988-0592
Practice Address - Street 1:404 N LAKE DR
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:GA
Practice Address - Zip Code:31069-8402
Practice Address - Country:US
Practice Address - Phone:478-955-5855
Practice Address - Fax:478-988-0592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty