Organization
URBAN GATHERING COUNSELING LTD CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCLYN WINDOM LPC (PRINCIPLE CLINICIAN/OWNER)
(334) 552-1846
Entity
Organization
Contact information
Practice address
11720 AMBER PARK DR STE 160, ALPHARETTA, GA 30009-2271
(334) 552-1846
Mailing address
10620 COLONY GLEN DR, ALPHARETTA, GA 30022-4914
(334) 552-1846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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