Provider Demographics
NPI:1689125320
Name:NEELEY CONSULTING LLC
Entity Type:Organization
Organization Name:NEELEY CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-235-7340
Mailing Address - Street 1:5501 GLENRIDGE DR NE
Mailing Address - Street 2:APT 540
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1359
Mailing Address - Country:US
Mailing Address - Phone:770-235-7340
Mailing Address - Fax:
Practice Address - Street 1:5501 GLENRIDGE DR NE
Practice Address - Street 2:APT 540
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1359
Practice Address - Country:US
Practice Address - Phone:770-235-7340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007659251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health