MEDICARE: ATLANTA CENTER FOR COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	252Y00000X	Early Intervention Provider Agency
3	101Y00000X	Counselor
4	101YP2500X	Professional Counselor
5	171M00000X	Case Manager/Care Coordinator
6	251B00000X	Case Management Agency
7	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1487344065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA CENTER FOR COUNSELING LLC

Provider Business Mailing Address
First Line	:	5522 VILLAGE TRCE
Second Line	:
City	:	UNION CITY
State	:	GA
Zip	:	30291-5155
Country	:	US
Telephone Number	:	404-889-0686
Fax Number	:

Provider Business Practice Location Address
First Line	:	5522 VILLAGE TRCE
Second Line	:
City	:	UNION CITY
State	:	GA
Zip	:	30291-5155
Country	:	US
Telephone Number	:	404-889-0686
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELE SHROPSHIRE
Credential	:	LPC
Telephone Number	:	404-889-0686

Provider Enumeration Date	:	05/09/2023
Last Update Date	:	05/13/2024

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