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NPI Code Detail

MEDICARE: CENTERED ON YOU COUNSELING AND CONSULTING

MEDICARE: CENTERED ON YOU COUNSELING AND CONSULTING
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1006765OTHERGALPC NUMBER

General Provider Information

NPI Number : 1376123380
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTERED ON YOU COUNSELING AND CONSULTING
Provider Business Mailing Address
First Line : 3350 NORTHLAKE PKWY NE STE B-3
Second Line :
City : ATLANTA
State : GA
Zip : 30345-2204
Country : US
Telephone Number : 678-637-7425
Fax Number :
Provider Business Practice Location Address
First Line : 3350 NORTHLAKE PKWY NE STE B-3
Second Line :
City : ATLANTA
State : GA
Zip : 30345-2204
Country : US
Telephone Number : 470-522-0033
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NATASHA MOON
Credential : LPC, PHD
Telephone Number : 470-522-0033
Provider Enumeration Date : 04/13/2021
Last Update Date : 04/13/2021

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Directions to “CENTERED ON YOU COUNSELING AND CONSULTING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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