Provider Demographics
NPI:1518066331
Name:SOZO CHRISTIAN COUNSELING
Entity Type:Organization
Organization Name:SOZO CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLAVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:706-322-3280
Mailing Address - Street 1:5900 RIVER RD
Mailing Address - Street 2:SUITE 301B
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-4578
Mailing Address - Country:US
Mailing Address - Phone:706-322-3280
Mailing Address - Fax:706-322-2272
Practice Address - Street 1:5900 RIVER RD
Practice Address - Street 2:SUITE 301B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-4578
Practice Address - Country:US
Practice Address - Phone:706-322-3280
Practice Address - Fax:706-322-2272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003522101YP2500X
GALPC002147101YP2500X
GAMFT000288106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty