Provider Demographics
NPI:1659841708
Name:COUNSELING CRISIS AND CARING, LLC
Entity type:Organization
Organization Name:COUNSELING CRISIS AND CARING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:BODDY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:770-310-2673
Mailing Address - Street 1:2727 PACES FERRY RD SE STE 750
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-4053
Mailing Address - Country:US
Mailing Address - Phone:678-677-0841
Mailing Address - Fax:404-228-6597
Practice Address - Street 1:2727 PACES FERRY RD SE STE 750
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-4053
Practice Address - Country:US
Practice Address - Phone:678-677-0841
Practice Address - Fax:404-228-6597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty