Organization
KEYSTONE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERMECZ PHD (PARTNER)
(770) 474-8400
Entity
Organization
Contact information
Practice address
275 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-7349
(770) 474-8400
(770) 474-3738
Mailing address
275 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-7349
(770) 474-8400
(770) 474-3738
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
09/11/2025
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