Organization
ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC
Active
Other names
ASFC Outreach Therapeutic Counseling Services, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY SIMPSON LPC (DIRECTOR)
(770) 787-3788
Entity
Organization
Contact information
Practice address
4146 HIGHWAY 278 NE, COVINGTON, GA 30014-2494
(770) 787-3788
(770) 786-5159
Mailing address
4146 HIGHWAY 278 NE, COVINGTON, GA 30014-2494
(770) 787-3788
(770) 786-5159
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942032473A
—
GA
Enumeration date
09/07/2007
Last updated
07/08/2010
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