Organization
CONNECT FOUR COUNSELING LLC
Active
Organization
CONNECT FOUR COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNETTE NICHOLE MILLER LCSW (CLINICAL SOCIAL WORKER - THERAPIST)
(678) 833-1664
Entity
Organization
Contact information
Practice address
2020 AVALON PKWY, SUITE 375, MCDONOUGH, GA 30253-3087
(678) 833-1664
(678) 604-8585
Mailing address
2020 AVALON PKWY, SUITE 375, MCDONOUGH, GA 30253-3087
(678) 833-1664
(678) 604-8585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW004801
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003155030A
—
GA
Enumeration date
10/22/2015
Last updated
10/22/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up