DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COUNSELING SERVICES OF LAGRANGE, INC.

MEDICARE: COUNSELING SERVICES OF LAGRANGE, INC.
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
1103TC0700XClinical PsychologistPSY003497GA

General Provider Information

NPI Number : 1790197804
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING SERVICES OF LAGRANGE, INC.
Provider Business Mailing Address
First Line : 610 RIDLEY AVE
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2236
Country : US
Telephone Number : 706-884-5050
Fax Number : 706-884-5056
Provider Business Practice Location Address
First Line : 610 RIDLEY AVE
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2236
Country : US
Telephone Number : 706-884-5050
Fax Number : 706-884-5056
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : SHANNON KEITH DUNLAP
Credential : PHD
Telephone Number : 706-884-5050
Provider Enumeration Date : 05/22/2014
Last Update Date : 06/29/2015

Similar Medicare Providers

1003400359 — TAYLOR HAMM MA
Practice Location Address:
610 RIDLEY AVE
LAGRANGE, GA
30240-2236
Practice Phone: 706-884-5050
Practice Fax: 706-884-5056
1194950857 — DR. SHANNON K. DUNLAP PHD
Practice Location Address:
610 RIDLEY AVE
LAGRANGE, GA
30240-2236
Practice Phone: 706-884-5050
Practice Fax: 706-884-5056
1720417140 — MRS. KELLY J VEAL LPC
Practice Location Address:
610 RIDLEY AVE
LAGRANGE, GA
30240-2236
Practice Phone: 706-594-8148
Practice Fax: 706-884-5056
1700304904 — MICHAEL SCOTT SMITH PSY
Practice Location Address:
610 RIDLEY AVE
LAGRANGE, GA
30240-2236
Practice Phone: 706-884-5050
Practice Fax:
1609348366 — HEIKE BARNETT LAPC
Practice Location Address:
610 RIDLEY AVE
LAGRANGE, GA
30240-2236
Practice Phone: 706-884-5050
Practice Fax:
1588136394 — TRACEY TENNEY LAPC
Practice Location Address:
610 RIDLEY AVE
LAGRANGE, GA
30240-2236
Practice Phone: 706-884-5050
Practice Fax:

Directions to “COUNSELING SERVICES OF LAGRANGE, INC. ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.