| Organization Name: | COUNSELING INSTITUTE OF ATLANTA |
| NPI Number: | 1033579875 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEJANDRO NAVARRETE-AGUILAR (PRESIDENT) |
| Mailing Address: | 5855 Jimmy Carter Blvd Suite 240 Norcross |
| State: | GA US |
| Postal Code: | 300712929 |
| Phone Number: | 4046301361 |
| Fax Number: | 7704419177 |
| NPI Enumeration Date: | 03/06/2016 |
| NPI Last Update Date: | 03/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |