Provider Demographics
NPI:1457653339
Name:KEYS TO A BETTER CHANCE COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:KEYS TO A BETTER CHANCE COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FANIKE
Authorized Official - Middle Name:K
Authorized Official - Last Name:OLUGBALA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:404-997-9495
Mailing Address - Street 1:1710 PRESTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-8829
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1710 PRESTON PARK DR
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-8829
Practice Address - Country:US
Practice Address - Phone:404-997-9495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-25
Last Update Date:2010-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health