Organization
BIG UMBRELLA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATON MICHAEL PRYOR LPC (OWNER/COUNSELOR)
(912) 278-1239
Entity
Organization
Contact information
Practice address
6959 HACKLEBARNEY RD, BLACKSHEAR, GA 31516-4692
(912) 278-1239
Mailing address
PO BOX 1884, WAYCROSS, GA 31502-1884
(912) 590-2981
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063996619
—
GA
05
—
1093299356
—
GA
Enumeration date
02/28/2022
Last updated
02/28/2022
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