Healthcare Provider Details

I. General information

NPI: 1780735811
Provider Name (Legal Business Name): SELF DISCOVERY COUNSELING AND CONSULTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 GILLIONVILLE RD
ALBANY GA
31707-3735
US

IV. Provider business mailing address

218 MAXWELL ST. P.O. BOX H
ARLINGTON GA
39813
US

V. Phone/Fax

Practice location:
  • Phone: 229-347-1211
  • Fax: 229-725-4687
Mailing address:
  • Phone: 229-347-1211
  • Fax: 229-725-4687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number00313
License Number StateGA

VIII. Authorized Official

Name: MRS. LINDA M. HALFORD
Title or Position: OWNER COUNSELOR
Credential: L.P.C., M.A.C.
Phone: 229-347-1211