Organization
GEORGIA MOUNTAINS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA HOLSENBECK (BILLING MANAGER)
(678) 513-5737
Entity
Organization
Contact information
Practice address
2467 OLD CORNELIA HWY, GAINESVILLE, GA 30507-7853
(678) 513-5737
(678) 513-5836
Mailing address
4331 THURMON TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5737
(678) 513-5836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000600795AC
—
GA
Enumeration date
04/06/2011
Last updated
03/11/2022
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