Provider Demographics
NPI:1255020293
Name:KRISTENS COUNSELING LLC
Entity type:Organization
Organization Name:KRISTENS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOLES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:706-717-3006
Mailing Address - Street 1:3688 GAINESVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-6503
Mailing Address - Country:US
Mailing Address - Phone:706-717-3006
Mailing Address - Fax:706-487-8498
Practice Address - Street 1:3688 GAINESVILLE HWY
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-6503
Practice Address - Country:US
Practice Address - Phone:706-489-1585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty