Provider Demographics
NPI:1760814099
Name:VICTORIA B. CAMERON
Entity Type:Organization
Organization Name:VICTORIA B. CAMERON
Other - Org Name:CREATIVE COUNSEL ATLANTA
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-941-9600
Mailing Address - Street 1:741 PIEDMONT AVE NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1464
Mailing Address - Country:US
Mailing Address - Phone:404-941-9600
Mailing Address - Fax:
Practice Address - Street 1:741 PIEDMONT AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1464
Practice Address - Country:US
Practice Address - Phone:404-941-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty