Organization
RISS COUNSELING, LLC
Active
Other names
Laura Riss, Psy.D.
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA BLACK (OFFICE REP.)
(706) 410-0715
Entity
Organization
Contact information
Practice address
1 HUNTINGTON RD STE 205, ATHENS, GA 30606-7206
(706) 207-9151
(706) 850-0899
Mailing address
1655 CENTERVIEW DR APT 435, DULUTH, GA 30096-7693
(706) 207-9151
(706) 850-0899
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140137175B
—
GA
Enumeration date
02/21/2008
Last updated
07/25/2012
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