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Organization
REFINERY COUNSELING SERVICES LLC
Active
Organization
REFINERY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QIANA TOY-ELLIS (CEO)
(706) 987-3315
Entity
Organization
Contact information
Practice address
4570 REESE RD STE B, COLUMBUS, GA 31907-1177
(706) 987-3315
(229) 207-2972
Mailing address
4570 REESE RD STE B, COLUMBUS, GA 31907-1177
(706) 987-3315
(229) 207-2972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003230323A
—
GA
05
—
003230343A
—
GA
Enumeration date
07/22/2020
Last updated
09/13/2021
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