Provider Demographics
NPI:1629785167
Name:JIGSAW CONSULTING SERVICES LLC.
Entity Type:Organization
Organization Name:JIGSAW CONSULTING SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUEELLEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOLLOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-846-3119
Mailing Address - Street 1:PO BOX 361174
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30036-1174
Mailing Address - Country:US
Mailing Address - Phone:770-846-3119
Mailing Address - Fax:
Practice Address - Street 1:3487 BRYCEWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034
Practice Address - Country:US
Practice Address - Phone:770-846-3119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty