Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FIRST RESPONSE COUNSELING & INTERVENTION LLC
Active
Organization
FIRST RESPONSE COUNSELING & INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIEN KELLAM M.A.,LPC,PHD ABD (PRESIDENT & CEO)
(678) 545-4285
Entity
Organization
Contact information
Practice address
6053 N HENRY BLVD, SUITE C, STOCKBRIDGE, GA 30281-3081
(678) 545-4285
Mailing address
6053 N HENRY BLVD, SUITE C, STOCKBRIDGE, GA 30281-3081
(678) 545-4285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005815
GA
101YM0800X
Mental Health Counselor
LPC005856
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134017A
—
GA
05
—
003134017B
—
GA
Enumeration date
11/18/2014
Last updated
11/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers