MEDICARE: POISED PERSEVERANCE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1356029268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POISED PERSEVERANCE LLC

Provider Business Mailing Address
First Line	:	1827 POWERS FERRY RD SE BLDG 22
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5621
Country	:	US
Telephone Number	:	770-953-4640
Fax Number	:	770-995-1959

Provider Business Practice Location Address
First Line	:	1827 POWERS FERRY RD SE BLDG 22
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5621
Country	:	US
Telephone Number	:	770-953-4640
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATHRYN GELFAND
Credential	:	LPC
Telephone Number	:	718-662-8034

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	03/23/2026

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Directions to “POISED PERSEVERANCE LLC ” Practice Location

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