Healthcare Provider Details

I. General information

NPI: 1699535138
Provider Name (Legal Business Name): GARRETT-COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2024
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 ROSWELL RD STE 63
MARIETTA GA
30062-8828
US

IV. Provider business mailing address

3535 ROSWELL RD STE 63
MARIETTA GA
30062-8828
US

V. Phone/Fax

Practice location:
  • Phone: 404-663-4412
  • Fax: 770-430-5681
Mailing address:
  • Phone: 404-663-4412
  • Fax: 770-430-5681

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: KRISTIE GARRETT
Title or Position: PROVIDER/OWNER
Credential:
Phone: 404-663-4412