Healthcare Provider Details

I. General information

NPI: 1588252738
Provider Name (Legal Business Name): RICHARD L DUHE MA COUNSELING
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 01/04/2021
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3975 ROSWELL RD NE
ATLANTA GA
30342-4119
US

IV. Provider business mailing address

3975 ROSWELL RD NE
ATLANTA GA
30342-4119
US

V. Phone/Fax

Practice location:
  • Phone: 404-352-4001
  • Fax:
Mailing address:
  • Phone: 404-352-4001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC007436
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: