MEDICARE: THE COUNSELING HEALING CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YP2500X	Professional Counselor
3	103K00000X	Behavior Analyst
4	103T00000X	Psychologist
5	103TB0200X	Cognitive & Behavioral Psychologist
6	103TC2200X	Clinical Child & Adolescent Psychologist
7	103TM1800X	Intellectual & Developmental Disabilities Psychologist
8	103TP2701X	Group Psychotherapy Psychologist
9	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1215870050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE COUNSELING HEALING CENTER, LLC

Provider Business Mailing Address
First Line	:	7187 WASHINGTON ST SW STE B
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-3433
Country	:	US
Telephone Number	:	470-327-2113
Fax Number	:	404-902-6704

Provider Business Practice Location Address
First Line	:	7187 WASHINGTON ST SW STE B
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-3433
Country	:	US
Telephone Number	:	470-327-2113
Fax Number	:	404-902-6704

Authorized Official
Title or Position	:	CEO/DIRECTOR
Name	:	ANTITA CARTER
Credential	:	LPC
Telephone Number	:	470-327-2113

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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