Provider Demographics
NPI:1689424681
Name:CLEARLYCOUNSELING IN GEORGIA
Entity Type:Organization
Organization Name:CLEARLYCOUNSELING IN GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-202-2788
Mailing Address - Street 1:1201 W PEACHTREE ST NW
Mailing Address - Street 2:STE 2625 #437826
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3499
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 W PEACHTREE ST NW
Practice Address - Street 2:STE 2625 #437826
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3499
Practice Address - Country:US
Practice Address - Phone:404-919-4998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty