# KIRK CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972998953
- **Authorized official:** MR. GREG M KIRK LPC (CEO)
- **Authorized official phone:** (229) 924-2885

## Contact information

- **Practice address:** 1508 CRAWFORD ST, AMERICUS, GA 31709-3296
- **Practice address phone:** (229) 924-2885
- **Mailing address:** P.O. BOX 6085, AMERICUS, GA 31709-3296
- **Mailing address phone:** (229) 924-2885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | LPC 0002475 | GA | Yes |

## Other

- **Enumeration date:** 04/06/2015
- **Last updated:** 04/06/2015