Healthcare Provider Details

I. General information

NPI: 1528944816
Provider Name (Legal Business Name): GEORGIA PLUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 PEACHTREE PKWY STE 4245
CUMMING GA
30041-7407
US

IV. Provider business mailing address

3395 SUMMIT TRL
CUMMING GA
30041-6693
US

V. Phone/Fax

Practice location:
  • Phone: 404-388-0288
  • Fax:
Mailing address:
  • Phone: 404-388-0288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KAREN GARCIA
Title or Position: OWNER
Credential: LPC
Phone: 404-388-0288