| Organization Name: | CENTER FOR COUNSELING, REHABILITATION, AND PERSONAL EVALUATION |
| NPI Number: | 1518109461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN E DOCK (OWNER/DIRECTOR) |
| Mailing Address: | 331 Arcado Rd Nw Suite B Lilburn |
| State: | GA US |
| Postal Code: | 300472814 |
| Phone Number: | 7705643230 |
| Fax Number: | 7705643792 |
| NPI Enumeration Date: | 03/24/2009 |
| NPI Last Update Date: | 03/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LPC003265 |
| 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 |