Provider Demographics
NPI:1851924930
Name:DAWNING JOURNEYS COUNSELING, LLC
Entity Type:Organization
Organization Name:DAWNING JOURNEYS COUNSELING, LLC
Other - Org Name:JAMES ELLIOTT COUNSELING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SAMPLE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-850-2020
Mailing Address - Street 1:44 DARBYS CROSSING DR STE 202
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-6008
Mailing Address - Country:US
Mailing Address - Phone:404-850-2020
Mailing Address - Fax:
Practice Address - Street 1:44 DARBYS CROSSING DR STE 202
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-6008
Practice Address - Country:US
Practice Address - Phone:404-850-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC010314OtherGA BOARD OF PROF. COUNSELORS, SOCIAL WORKERS, AND MARRIAGE & FAMILY THERAPISTS