Provider Demographics
NPI:1932680600
Name:SEAT OF RESILIENCE CONSULTING AND COUNSELING LLC
Entity Type:Organization
Organization Name:SEAT OF RESILIENCE CONSULTING AND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:BOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-545-2570
Mailing Address - Street 1:PO BOX 918
Mailing Address - Street 2:
Mailing Address - City:LUDOWICI
Mailing Address - State:GA
Mailing Address - Zip Code:31316-0918
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:386 E CYPRESS ST STE 1
Practice Address - Street 2:
Practice Address - City:LUDOWICI
Practice Address - State:GA
Practice Address - Zip Code:31316-3118
Practice Address - Country:US
Practice Address - Phone:912-545-2570
Practice Address - Fax:912-210-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010308101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty