Healthcare Provider Details

I. General information

NPI: 1205706421
Provider Name (Legal Business Name): EULER LANDIM CECILIO LPC016126
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 DUG GAP RD
DALTON GA
30720-5007
US

IV. Provider business mailing address

5850 MOUSE CREEK RD NW
CLEVELAND TN
37312-6246
US

V. Phone/Fax

Practice location:
  • Phone: 706-279-0405
  • Fax:
Mailing address:
  • Phone: 720-404-9335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC016126
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: