Provider Demographics
NPI:1598916686
Name:IN TOUCH COUNSELING, LLC
Entity Type:Organization
Organization Name:IN TOUCH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-697-9070
Mailing Address - Street 1:PO BOX 639
Mailing Address - Street 2:562 WASHINGTON STREET
Mailing Address - City:CLARKESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30523-0011
Mailing Address - Country:US
Mailing Address - Phone:706-499-8348
Mailing Address - Fax:706-754-7145
Practice Address - Street 1:562 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CLARKESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30523-6011
Practice Address - Country:US
Practice Address - Phone:706-499-8348
Practice Address - Fax:706-754-7145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC04335101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty