Organization
COMMUNITY PSYCHOTHERAPY AND ADDICTION COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE R CHAMBERS LCSW (OWNER)
(478) 832-9442
Entity
Organization
Contact information
Practice address
341 MARGIE DR STE 3A, WARNER ROBINS, GA 31088
(478) 832-9442
(229) 299-0993
Mailing address
401 OBRIEN DR, KATHLEEN, GA 31047-5351
(478) 832-9442
(229) 299-0993
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
17008045
GA
1041C0700X
Clinical Social Worker
Primary
CSW005857
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003177727E
—
GA
01
—
4658124
CIGNA
GA
01
—
9453675
AETNA
GA
Enumeration date
02/06/2017
Last updated
09/04/2019
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