Provider Demographics
NPI:1679028971
Name:RODNEY LARSON PERSPECTIVES
Entity Type:Organization
Organization Name:RODNEY LARSON PERSPECTIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-332-1221
Mailing Address - Street 1:408 WOODCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-3160
Mailing Address - Country:US
Mailing Address - Phone:678-332-1221
Mailing Address - Fax:
Practice Address - Street 1:8097 ROSWELL RD
Practice Address - Street 2:SUITE C101
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-6159
Practice Address - Country:US
Practice Address - Phone:678-332-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009039101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC009039OtherLICENSED PROFESSIONAL CONSELOR #LICENSE NO. LPC009039 - ACTIVE ISSUED: 6/13/2016