Provider Demographics
NPI:1952580292
Name:THERAPEUTIC INTERVENTION & PREVENTION SERVICES, LLC
Entity Type:Organization
Organization Name:THERAPEUTIC INTERVENTION & PREVENTION SERVICES, LLC
Other - Org Name:TIPS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:ATLAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:404-221-0455
Mailing Address - Street 1:233 MITCHELL ST SW
Mailing Address - Street 2:SUITE 440
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3304
Mailing Address - Country:US
Mailing Address - Phone:404-221-0455
Mailing Address - Fax:404-221-0456
Practice Address - Street 1:233 MITCHELL ST SW
Practice Address - Street 2:SUITE 440
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3304
Practice Address - Country:US
Practice Address - Phone:404-221-0455
Practice Address - Fax:404-221-0456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health