Organization
OLIVER COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE OLIVER LPC (LPC)
(678) 631-7172
Entity
Organization
Contact information
Practice address
2777 JEFFERSON ST STE 8, AUSTELL, GA 30168-4054
(678) 631-7172
Mailing address
4665 OAKLEIGH MANOR DR, POWDER SPRINGS, GA 30127-4937
(678) 631-7172
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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