Organization
PHENIX CITY COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMEONELAVETTE BARNES LPC (OWNER)
(706) 325-6089
Entity
Organization
Contact information
Practice address
1211 7TH AVE, PHENIX CITY, AL 36867-5801
(706) 325-6089
Mailing address
1211 7TH AVE, PHENIX CITY, AL 36867-5801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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