Healthcare Provider Details

I. General information

NPI: 1609798917
Provider Name (Legal Business Name): FOOTHILLS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 E WASHINGTON ST
SUMMERVILLE GA
30747-1709
US

IV. Provider business mailing address

6868 HIGHWAY 114
LYERLY GA
30730-4502
US

V. Phone/Fax

Practice location:
  • Phone: 706-676-5645
  • Fax:
Mailing address:
  • Phone: 706-676-5645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA MICHELLE FLOYD
Title or Position: OWNER
Credential: LMSW
Phone: 706-676-5645