Healthcare Provider Details

I. General information

NPI: 1871374009
Provider Name (Legal Business Name): LITTRON S COLE MPH, MS, LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 GOVERNORS SQ STE D
PEACHTREE CITY GA
30269-4871
US

IV. Provider business mailing address

125 GOVERNORS SQ STE D
PEACHTREE CITY GA
30269-4871
US

V. Phone/Fax

Practice location:
  • Phone: 678-423-5500
  • Fax: 678-271-3204
Mailing address:
  • Phone: 678-423-5500
  • Fax: 678-271-3204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC014180
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: