Healthcare Provider Details

I. General information

NPI: 1841815495
Provider Name (Legal Business Name): STRICKLIN COUNSELING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 06/10/2020
Certification Date: 06/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2636 MLK JR DR SW STE 22
ATLANTA GA
30311-1635
US

IV. Provider business mailing address

7573 ABSINTH DR
ATLANTA GA
30349-8132
US

V. Phone/Fax

Practice location:
  • Phone: 678-787-8750
  • Fax:
Mailing address:
  • Phone: 678-787-8750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRYSTLE STRICKLIN
Title or Position: OWNER
Credential: LCSW
Phone: 678-787-8750