Organization
NORTH PINES CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN SCROGGS LCSW,LMFT,LPC,CEAP (PRESIDENT, CEO)
(770) 449-1111
Entity
Organization
Contact information
Practice address
3355 MEDLOCK BRIDGE RD, NORCROSS, GA 30092-3009
(770) 449-1111
(770) 449-8113
Mailing address
3355 MEDLOCK BRIDGE RD, NORCROSS, GA 30092-3009
(770) 449-1111
(770) 449-8113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW000675
GA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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