Provider Demographics
NPI:1598822108
Name:THE COUNSELING CENTER INC
Entity Type:Organization
Organization Name:THE COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:STAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-427-8511
Mailing Address - Street 1:3166 CHEROKEE STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144
Mailing Address - Country:US
Mailing Address - Phone:770-427-8511
Mailing Address - Fax:770-422-6802
Practice Address - Street 1:3166 CHEROKEE STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144
Practice Address - Country:US
Practice Address - Phone:770-427-8511
Practice Address - Fax:770-422-6802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000127101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty