Organization Name: | COUNSELING AND LIFE COACH SERVICES LLC |
NPI Number: | 1255578662 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREA D SIMS (OWNER (COUNSELOR)) |
Mailing Address: | 3455 Lawrenceville Suwanee Rd Suite D Suwanee |
State: | GA US |
Postal Code: | 300246425 |
Phone Number: | 4044965041 |
Fax Number: | 4044249383 |
NPI Enumeration Date: | 01/07/2009 |
NPI Last Update Date: | 02/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |