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Organization

PIVOTAL COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE SALVATIERRA (LPC / OWNER)
(678) 979-7300
Entity
Organization

Contact information

Practice address
75 N BROAD ST, WINDER, GA 30680-1907
(678) 979-7300
Mailing address
75 N BROAD ST, WINDER, GA 30680-1907
(678) 979-7300

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598142143
GA
Enumeration date
08/19/2020
Last updated
08/19/2020
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