Provider Demographics
NPI:1023448693
Name:ENCOMPASS COUNSELING INC
Entity type:Organization
Organization Name:ENCOMPASS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, PHD
Authorized Official - Phone:478-225-4886
Mailing Address - Street 1:524 S HOUSTON LAKE RD
Mailing Address - Street 2:SUITE B 3000
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-9027
Mailing Address - Country:US
Mailing Address - Phone:478-225-4886
Mailing Address - Fax:478-225-3341
Practice Address - Street 1:524 S HOUSTON LAKE RD
Practice Address - Street 2:SUITE B 3000
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-9027
Practice Address - Country:US
Practice Address - Phone:478-225-4886
Practice Address - Fax:478-225-3341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005847251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA231830824AMedicaid