Organization
DIVERSIFIED CONCEPTS IN COUNSELING & CONSULTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL CRAIG PHD (CEO)
(248) 470-7279
Entity
Organization
Contact information
Practice address
1860 SILVERSTONE DR, LAWRENCEVILLE, GA 30045-7270
(248) 470-7279
(678) 689-1132
Mailing address
1860 SILVERSTONE DR, LAWRENCEVILLE, GA 30045-7270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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