MEDICARE: SEEK WISE COUNSEL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	225800000X	Recreation Therapist
3	101Y00000X	Counselor
4	342000000X	Transportation Network Company
5	101YA0400X	Addiction (Substance Use Disorder) Counselor
6	101YM0800X	Mental Health Counselor
7	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1699427963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEK WISE COUNSEL

Provider Business Mailing Address
First Line	:	2915 CHILHOWEE DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-9443
Country	:	US
Telephone Number	:	678-446-5445
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 PEACHTREE ST NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2177
Country	:	US
Telephone Number	:	770-589-7938
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR/THERAPIST
Name	:	DEON LASHAWN SANDERS
Credential	:	LPC
Telephone Number	:	678-446-5445

Provider Enumeration Date	:	01/19/2022
Last Update Date	:	05/23/2024

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