Healthcare Provider Details

I. General information

NPI: 1396451605
Provider Name (Legal Business Name): WITHIN REACH COUNSELING AND COACHING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 WARWICK PLACE
MCDONOUGH GA
30253
US

IV. Provider business mailing address

313 WARWICK PLACE
MCDONOUGH GA
30253
US

V. Phone/Fax

Practice location:
  • Phone: 404-502-2781
  • Fax:
Mailing address:
  • Phone: 404-502-2781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. VALERIE CHILLIS SANDERS
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: D.MIN., LMFT
Phone: 404-502-2781