Provider Demographics
NPI:1336912278
Name:AT YOUR PACE COUNSELING LLC
Entity Type:Organization
Organization Name:AT YOUR PACE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEINONEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-683-5346
Mailing Address - Street 1:230 LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-3404
Mailing Address - Country:US
Mailing Address - Phone:770-683-5346
Mailing Address - Fax:
Practice Address - Street 1:3025 HIGHWAY 154 STE 102
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-6149
Practice Address - Country:US
Practice Address - Phone:770-683-5346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty