Provider Demographics
NPI:1780271718
Name:BEGIN AGAIN COUNSELING COACHING & CONSULTANT SERVICES LLC
Entity type:Organization
Organization Name:BEGIN AGAIN COUNSELING COACHING & CONSULTANT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LPC
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERALDS
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, MS, LPC
Authorized Official - Phone:678-640-3196
Mailing Address - Street 1:4190 PEACE ROSE PL
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-5112
Mailing Address - Country:US
Mailing Address - Phone:678-640-3196
Mailing Address - Fax:
Practice Address - Street 1:4190 PEACE ROSE PL
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-5112
Practice Address - Country:US
Practice Address - Phone:678-640-3196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty