Organization
NORTHWEST COUNSELING PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA GARVIN PHD, LPC, NCC, CACII (THERAPIST)
(678) 365-7243
Entity
Organization
Contact information
Practice address
5604 WENDY BAGWELL PKWY STE 811, HIRAM, GA 30141-7819
(678) 720-2119
(678) 730-7242
Mailing address
5604 WENDY BAGWELL PKWY STE 811, HIRAM, GA 30141-7819
(678) 720-2119
(678) 730-7242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC04621
LICENSE NUMBER
GA
Enumeration date
08/08/2022
Last updated
08/08/2022
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