Provider Demographics
NPI:1619542768
Name:COUNSELING WITH K, LLC
Entity Type:Organization
Organization Name:COUNSELING WITH K, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KASHON
Authorized Official - Middle Name:
Authorized Official - Last Name:MELLS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:706-871-1323
Mailing Address - Street 1:2857 TOBACCO RD STE 1
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-9001
Mailing Address - Country:US
Mailing Address - Phone:706-871-1323
Mailing Address - Fax:
Practice Address - Street 1:2857 TOBACCO RD STE 1
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-9001
Practice Address - Country:US
Practice Address - Phone:706-871-1323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty