Healthcare Provider Details

I. General information

NPI: 1982923835
Provider Name (Legal Business Name): THE ENCOURAGEMENT CENTER, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 05/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4626 BEXLEY WAY
STONE MOUNTAIN GA
30083-5526
US

IV. Provider business mailing address

4626 BEXLEY WAY
STONE MOUNTAIN GA
30083-5526
US

V. Phone/Fax

Practice location:
  • Phone: 770-870-7721
  • Fax:
Mailing address:
  • Phone: 770-870-7721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1003-0705
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC005961
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC3472
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberLPN070659
License Number StateGA

VIII. Authorized Official

Name: MICHAEL THEODORE HESTER
Title or Position: CEO
Credential: LPC, LCPC, LPN, CCJP
Phone: 770-870-7721