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NPI Code Detail

MEDICARE: NUBIE COUNSELING SERVICES LLC

MEDICARE: NUBIE COUNSELING SERVICES 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
1251S00000XCommunity/Behavioral Health AgencyLPC 008261GA

General Provider Information

NPI Number : 1679940209
Entity Type Code : Organization
Provider Name (Legal Business Name) : NUBIE COUNSELING SERVICES LLC
Provider Business Mailing Address
First Line : 207 HUDSON TRCE STE 206
Second Line :
City : AUGUSTA
State : GA
Zip : 30907-2010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 207 HUDSON TRCE STE 206
Second Line :
City : AUGUSTA
State : GA
Zip : 30907-2010
Country : US
Telephone Number : 803-466-9061
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHIRLONDA H SHEPARD
Credential : LPC
Telephone Number : 803-466-9061
Provider Enumeration Date : 08/31/2015
Last Update Date : 08/31/2015

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Directions to “NUBIE COUNSELING SERVICES LLC ” Practice Location

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