Healthcare Provider Details

I. General information

NPI: 1598424343
Provider Name (Legal Business Name): COMPASSIONATE LISTENING COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 N EUGENIA PL NW
ATLANTA GA
30318-4867
US

IV. Provider business mailing address

936 N EUGENIA PL NW
ATLANTA GA
30318-4867
US

V. Phone/Fax

Practice location:
  • Phone: 770-765-7458
  • Fax: 404-592-6471
Mailing address:
  • Phone: 770-765-7458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAMELA DAVIS
Title or Position: OWNER
Credential: LCSW
Phone: 770-765-7458