Provider Demographics
NPI:1417255720
Name:CONFIDENTIAL COUNSELING SOLUTIONS LLC
Entity Type:Organization
Organization Name:CONFIDENTIAL COUNSELING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS-NASH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:423-895-4053
Mailing Address - Street 1:2111 FOTHERGILL DR
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7242
Mailing Address - Country:US
Mailing Address - Phone:423-895-4053
Mailing Address - Fax:706-364-4340
Practice Address - Street 1:2102 FOREST DR
Practice Address - Street 2:SUITE 5
Practice Address - City:GRAY
Practice Address - State:TN
Practice Address - Zip Code:37615-3493
Practice Address - Country:US
Practice Address - Phone:423-895-4053
Practice Address - Fax:706-364-4340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000052641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty