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Organization
GOLD COAST CONSULTING LLC
Active
Organization
GOLD COAST CONSULTING LLC
Active
Other names
Gold Coast Consulting LLC, Phoenix Rising
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY T PRICE (OWNER)
(678) 709-9021
Entity
Organization
Contact information
Practice address
101 DEVANT ST STE 503, FAYETTEVILLE, GA 30214-2720
(770) 282-6962
(770) 282-6962
Mailing address
101 DEVANT ST STE 503, FAYETTEVILLE, GA 30214-2720
(770) 282-6962
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000000000
NOT APPLICABLE
—
Enumeration date
06/13/2022
Last updated
06/13/2022
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