Provider Demographics
NPI:1356008015
Name:PORTER COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:PORTER COUNSELING AND CONSULTING, LLC
Other - Org Name:GENERATIONS COUNSELING AND WELLNESS GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CPCS
Authorized Official - Phone:706-478-7014
Mailing Address - Street 1:15 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2744
Mailing Address - Country:US
Mailing Address - Phone:706-478-7014
Mailing Address - Fax:706-716-6268
Practice Address - Street 1:2815 WARM SPRINGS RD STE 1B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6857
Practice Address - Country:US
Practice Address - Phone:706-478-7014
Practice Address - Fax:706-716-6268
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PORTER COUNSELING AND CONSULTING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-17
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty