| Doctor Name: | MRS. VERLYN GAIL HARGROVE |
| NPI Number: | 1013328582 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LPC005010 |
| Business Practice Address: | 106 Olympia Dr Ste B Warner Robins, GA - 310933614 |
| Business Phone Number: | 4787452811 |
| Business Fax Number: | 4787450881 |
| Mailing Address: | 277 Mlk Blvd Ste 203, MACON |
| State: | GA |
| Postal Code: | 312013498 |
| Phone Number: | 4787452811 |
| Fax Number: | 4787450881 |
| NPI Enumeration Date: | 05/18/2014 |
| NPI Last Update Date: | 05/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC005010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |