=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871657841
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOMEONE CARES COUNSELING SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/21/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 139 E. M. L. K. JR. DR.
-----------------------------------------------------
City | HINESVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31313
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-876-5977
-----------------------------------------------------
Fax | 912-876-5254
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 139 EAST M. L. K. JR. DRIVE
-----------------------------------------------------
City | HINESVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31313
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-876-5977
-----------------------------------------------------
Fax | 912-876-5254
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. CARLETHA MARIA OLIVER
-----------------------------------------------------
Credential | MHR
-----------------------------------------------------
Telephone | 912-876-5977
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 112824
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------