# WEST GEORGIA CHRISTIAN COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Georgia Christian Counseling, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578317830
- **Authorized official:** TIFFANY BROOKE RALEY LPC (LPC & CEO)
- **Authorized official phone:** (608) 609-4766

## Contact information

- **Practice address:** 302 AUGUSTA WOODS DR, VILLA RICA, GA 30180-5224
- **Practice address phone:** (608) 609-4766
- **Mailing address:** 302 AUGUSTA WOODS DR, VILLA RICA, GA 30180-5224
- **Mailing address phone:** (608) 609-4766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2024
- **Last updated:** 04/15/2024