MEDICARE: NEW PEAKS COUNSELING

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1457127367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW PEAKS COUNSELING

Provider Business Mailing Address
First Line	:	6739 POPLAR GROVE WAY
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-6330
Country	:	US
Telephone Number	:	770-765-7381
Fax Number	:

Provider Business Practice Location Address
First Line	:	6739 POPLAR GROVE WAY
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-6330
Country	:	US
Telephone Number	:	770-765-7381
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AMBER CHAMBERS
Credential	:
Telephone Number	:	770-765-7381

Provider Enumeration Date	:	12/01/2023
Last Update Date	:	12/01/2023

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Directions to “NEW PEAKS COUNSELING ” Practice Location

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