| Organization Name: | SELF DISCOVERY COUNSELING AND CONSULTING INC |
| NPI Number: | 1063562221 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA M. HALFORD (OWNER COUNSELOR) |
| Mailing Address: | 116 South Main St. Blakely |
| State: | GA US |
| Postal Code: | 39823 |
| Phone Number: | 2293471211 |
| Fax Number: | 2297254687 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 00313 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |