Provider Demographics
NPI:1780417675
Name:PREMIER CHRISTIAN COUNSELING SERVICES, LLC.
Entity type:Organization
Organization Name:PREMIER CHRISTIAN COUNSELING SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:C
Authorized Official - Last Name:JOASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC
Authorized Official - Phone:404-643-3347
Mailing Address - Street 1:505 CORPORATE CENTER DR STE 103
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7255
Mailing Address - Country:US
Mailing Address - Phone:404-643-3347
Mailing Address - Fax:
Practice Address - Street 1:505 CORPORATE CENTER DR STE 103
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7255
Practice Address - Country:US
Practice Address - Phone:404-643-3347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1104417856OtherINDIVIDUAL NPI