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NPI Code Detail

MEDICARE: RIVER HAVEN COUNSELING CENTER, LLC

MEDICARE: RIVER HAVEN COUNSELING CENTER, LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1679180756
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER HAVEN COUNSELING CENTER, LLC
Provider Business Mailing Address
First Line : 40 MACON ST STE C
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-3233
Country : US
Telephone Number : 678-208-8224
Fax Number :
Provider Business Practice Location Address
First Line : 40 MACON ST STE C
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-3233
Country : US
Telephone Number : 678-208-8224
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : LAUREN MCGEE
Credential : LPC, LMHC
Telephone Number : 678-428-2034
Provider Enumeration Date : 09/23/2020
Last Update Date : 03/12/2025

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Directions to “RIVER HAVEN COUNSELING CENTER, LLC ” Practice Location

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