# SOUTHEAST CONNECTION COUNSELING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Counseling Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356829188
- **Authorized official:** DEBORAH STEWART DR. (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (912) 577-5372

## Contact information

- **Practice address:** 229 LARUE LN, COLLINS, GA 30421-6638
- **Practice address phone:** (912) 577-5372
- **Mailing address:** 229 LARUE LN, COLLINS, GA 30421-6638
- **Mailing address phone:** (912) 577-5372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 08/02/2024