Organization
ACCORDIA COUNSELING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY AYCOCK PH.D. (PRESIDENT)
(770) 461-9944
Entity
Organization
Contact information
Practice address
115 HABERSHAM DR, FAYETTEVILLE, GA 30214-7353
(770) 461-9944
(770) 461-9779
Mailing address
115 HABERSHAM DR, FAYETTEVILLE, GA 30214-7353
(770) 461-9944
(770) 461-9779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC002250
GA
103TC1900X
Counseling Psychologist
Primary
PSY001928
GA
1041C0700X
Clinical Social Worker
CSW000340
GA
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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