Healthcare Provider Details

I. General information

NPI: 1346105772
Provider Name (Legal Business Name): ABENA COUNSELING AND CONSULTING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7167 BOULDER PASS
UNION CITY GA
30291
US

IV. Provider business mailing address

6000 LYNMARK WAY STE 106 #1004
FAIRBURN GA
30213-4844
US

V. Phone/Fax

Practice location:
  • Phone: 404-916-7795
  • Fax:
Mailing address:
  • Phone: 404-916-7795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY BRIANNA MOORE
Title or Position: OWNER
Credential: LPC
Phone: 404-916-7795