Healthcare Provider Details

I. General information

NPI: 1700298270
Provider Name (Legal Business Name): RESOLUTION COUNSELING PROFESSIONALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3633 WHEELER RD SUITE 365
AUGUSTA GA
30909-6549
US

IV. Provider business mailing address

3633 WHEELER RD SUITE 365
AUGUSTA GA
30909-6549
US

V. Phone/Fax

Practice location:
  • Phone: 706-432-6866
  • Fax: 706-432-8775
Mailing address:
  • Phone: 706-432-6866
  • Fax: 706-432-8775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2673
License Number StateGA

VIII. Authorized Official

Name: MRS. CAROLYN A RAMP
Title or Position: OWNWE
Credential: LPC
Phone: 706-432-6866