# EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114316676
- **Legal business name:** EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES
- **Authorized official:** DENISE DIXON (OWNER)
- **Authorized official phone:** (678) 788-7400

## Contact information

- **Practice address:** 3555 MERCER UNIVERSITY DR, SUITE 101-6, MACON, GA 31204-4940
- **Practice address phone:** (678) 788-7400
- **Practice address fax:** (678) 954-6896
- **Mailing address:** 8484 HIGHWAY 85, JONESBORO, GA 30238-4308
- **Mailing address phone:** (678) 788-7400
- **Mailing address fax:** (678) 954-6896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 14-000385 | GA | Yes |

## Other

- **Enumeration date:** 01/21/2015
- **Last updated:** 02/02/2015