Provider Demographics
NPI:1508639246
Name:LINDEN TREE COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:LINDEN TREE COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CPCS, CTTP
Authorized Official - Phone:706-627-7518
Mailing Address - Street 1:6 GEORGE C WILSON CT
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6593
Mailing Address - Country:US
Mailing Address - Phone:706-250-0369
Mailing Address - Fax:
Practice Address - Street 1:6 GEORGE C WILSON CT
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6593
Practice Address - Country:US
Practice Address - Phone:706-250-0369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center