Provider Demographics
NPI:1831670827
Name:A PLACE TO GROW COUNSELING AND CONSULTING SERVICES
Entity Type:Organization
Organization Name:A PLACE TO GROW COUNSELING AND CONSULTING SERVICES
Other - Org Name:MELISSA BROWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-775-3050
Mailing Address - Street 1:8213 MCKENZIE PL
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-5293
Mailing Address - Country:US
Mailing Address - Phone:404-775-3050
Mailing Address - Fax:
Practice Address - Street 1:850 DOGWOOD RD
Practice Address - Street 2:STE B200 #2151
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-1343
Practice Address - Country:US
Practice Address - Phone:404-775-3050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008843101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty