Provider Demographics
NPI:1013057546
Name:CENTERPOINT COUNSELING SERVICES
Entity Type:Organization
Organization Name:CENTERPOINT COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:706-768-1233
Mailing Address - Street 1:PO BOX 1015
Mailing Address - Street 2:
Mailing Address - City:DEMOREST
Mailing Address - State:GA
Mailing Address - Zip Code:30535-1015
Mailing Address - Country:US
Mailing Address - Phone:706-768-1233
Mailing Address - Fax:
Practice Address - Street 1:1423 WASHINGTON ST
Practice Address - Street 2:STE 202
Practice Address - City:CLARKESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30523
Practice Address - Country:US
Practice Address - Phone:706-768-1233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0029681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty