# COUNSELING CENTER OF GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE COUNSELING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275176075
- **Authorized official:** DR. TITI AJOKE IPADEOLA PH.D, LPC (CEO)
- **Authorized official phone:** (770) 865-9118

## Contact information

- **Practice address:** 500 LANIER AVE W STE 908, FAYETTEVILLE, GA 30214-7641
- **Practice address phone:** (770) 865-9118
- **Mailing address:** 7977 WOODS LN, JONESBORO, GA 30236-3976
- **Mailing address phone:** (770) 865-9118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2019
- **Last updated:** 10/24/2019