Provider Demographics
NPI:1275823429
Name:NEW SPIRIT COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:NEW SPIRIT COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-917-8519
Mailing Address - Street 1:PO BOX 801681
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-1236
Mailing Address - Country:US
Mailing Address - Phone:770-917-8519
Mailing Address - Fax:801-454-4941
Practice Address - Street 1:302 ROYAL SUNSET DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-5048
Practice Address - Country:US
Practice Address - Phone:770-917-8519
Practice Address - Fax:801-454-4941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty