Provider Demographics
NPI:1710387063
Name:CMS COUNSELING, LLC
Entity Type:Organization
Organization Name:CMS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SHAHEEN-BALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-227-2975
Mailing Address - Street 1:870 RIVER COVE DR
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-2090
Mailing Address - Country:US
Mailing Address - Phone:678-227-2975
Mailing Address - Fax:678-971-5359
Practice Address - Street 1:430 PRIOR ST NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3441
Practice Address - Country:US
Practice Address - Phone:678-971-5355
Practice Address - Fax:678-971-5359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-23
Last Update Date:2014-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007940251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health