MEDICARE: COPING AND HEALING 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1811580111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COPING AND HEALING COUNSELING

Provider Business Mailing Address
First Line	:	306 VIA DEL CORSO
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-2233
Country	:	US
Telephone Number	:	404-832-0102
Fax Number	:

Provider Business Practice Location Address
First Line	:	306 VIA DEL CORSO
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-2233
Country	:	US
Telephone Number	:	404-832-0102
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	ELIZE JOSEPH
Credential	:
Telephone Number	:	404-944-7698

Provider Enumeration Date	:	02/17/2021
Last Update Date	:	03/20/2026

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