Provider Demographics
NPI:1831430271
Name:POWERFUL ALTERNATIVES COUNSELING & CONSULTING, LLC
Entity type:Organization
Organization Name:POWERFUL ALTERNATIVES COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:YURANDOL
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:678-699-4261
Mailing Address - Street 1:3577 CHAMBLEE TUCKER RD
Mailing Address - Street 2:STE A 261
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4422
Mailing Address - Country:US
Mailing Address - Phone:678-653-4373
Mailing Address - Fax:678-619-2188
Practice Address - Street 1:545 RESEARCH DR
Practice Address - Street 2:SUITE B
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-2745
Practice Address - Country:US
Practice Address - Phone:678-653-4373
Practice Address - Fax:678-619-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006533101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty