Provider Demographics
NPI:1639857964
Name:IRISH COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:IRISH COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRISH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-241-6619
Mailing Address - Street 1:6 CARTER LN SE
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-7505
Mailing Address - Country:US
Mailing Address - Phone:770-241-6619
Mailing Address - Fax:
Practice Address - Street 1:6 CARTER LN SE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-7505
Practice Address - Country:US
Practice Address - Phone:770-241-6619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty