Provider Demographics
NPI:1356737225
Name:RAMPART COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:RAMPART COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:WITSELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:762-524-7623
Mailing Address - Street 1:233 12TH ST
Mailing Address - Street 2:621-C
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2462
Mailing Address - Country:US
Mailing Address - Phone:762-524-7623
Mailing Address - Fax:
Practice Address - Street 1:233 12TH ST
Practice Address - Street 2:621-C
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2462
Practice Address - Country:US
Practice Address - Phone:762-524-7623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005137302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization