MEDICARE: THE COMMUNITY RESOURCE COUNSELING GROUP, 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1811859333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE COMMUNITY RESOURCE COUNSELING GROUP, LLC

Provider Business Mailing Address
First Line	:	3575 MACON RD STE 4
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-8220
Country	:	US
Telephone Number	:	678-812-9293
Fax Number	:

Provider Business Practice Location Address
First Line	:	3575 MACON RD STE 4
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-8220
Country	:	US
Telephone Number	:	678-812-9293
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAMECA WEST
Credential	:
Telephone Number	:	678-812-9293

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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