Healthcare Provider Details

I. General information

NPI: 1467363630
Provider Name (Legal Business Name): JGRUBB COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306B ROME ST
CARROLLTON GA
30117-3107
US

IV. Provider business mailing address

798 MCLENDON CIR
CARROLLTON GA
30117-7716
US

V. Phone/Fax

Practice location:
  • Phone: 470-980-7898
  • Fax:
Mailing address:
  • Phone: 470-980-7898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA GRUBB
Title or Position: OWNER
Credential: LPC
Phone: 470-980-7898