Healthcare Provider Details

I. General information

NPI: 1649761594
Provider Name (Legal Business Name): 3B COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2018
Last Update Date: 05/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 PRIOR ST NE
GAINESVILLE GA
30501-3441
US

IV. Provider business mailing address

2260 TURTLE CREEK WAY
LAWRENCEVILLE GA
30043-6989
US

V. Phone/Fax

Practice location:
  • Phone: 678-971-5355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SUSAN BAUMANN
Title or Position: COUNSELOR, OWNER
Credential: LPC
Phone: 678-971-5355