Organization
DOUGLAS COUNSELING, COACHING, & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORRY DARNELL DOUGLAS (ACCOUNT & OFFICE MANAGER)
(470) 331-4654
Entity
Organization
Contact information
Practice address
1665 VILLAGE PLACE CIR NE, CONYERS, GA 30012-7109
(706) 519-3030
Mailing address
2274 SALEM RD SE STE 106-1409, CONYERS, GA 30013-2097
(470) 331-4654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841683737
NPPES
GA
Enumeration date
06/14/2022
Last updated
06/14/2022
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