Organization
FIVE STAR COUNSELING SERVICES LLC
Active
Other names
Fab Five Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XAVIER MARQUIS MCCASKEY LPC / PH.D (PARTNER)
(706) 536-7287
Entity
Organization
Contact information
Practice address
1501 13TH ST STE X, COLUMBUS, GA 31901-2383
(706) 536-7287
Mailing address
1501 13TH ST STE X, COLUMBUS, GA 31901-2383
(706) 536-7287
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC007918
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC007918
GA
101YM0800X
Mental Health Counselor
LPC007918
GA
101YP2500X
Professional Counselor
LPC007918
GA
104100000X
Social Worker
CSW005312
GA
1041C0700X
Clinical Social Worker
Primary
CSW005312
GA
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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