Organization
AMBITIOUS COMPASSION WELLNESS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREA R RUSSELL MS, CRC, LPC (CEO)
(678) 709-8002
Entity
Organization
Contact information
Practice address
2001 MARTIN LUTHER KING JR DR SW STE 210, ATLANTA, GA 30310-5800
(404) 839-0218
(470) 878-3156
Mailing address
2290 LAKE ROYALE DR, RIVERDALE, GA 30296-1896
(404) 839-0218
(470) 878-3156
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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