Provider Demographics
NPI:1376953364
Name:POPE COUNSELING, LLC
Entity Type:Organization
Organization Name:POPE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRIS
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:NCAC II
Authorized Official - Phone:678-447-4289
Mailing Address - Street 1:251 PRISM DR., SUITE 11
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30116
Mailing Address - Country:US
Mailing Address - Phone:678-447-4289
Mailing Address - Fax:770-830-0592
Practice Address - Street 1:251 PRISM DR., SUITE 11
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30116
Practice Address - Country:US
Practice Address - Phone:678-447-4289
Practice Address - Fax:770-830-0592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & AdolescentGroup - Single Specialty