Organization
BEYOND THE SURFACE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENDELLE L MILLER LCSW, ACM-SW (CLINICAL DIRECTOR)
(678) 298-6144
Entity
Organization
Contact information
Practice address
3630 JASMINE COVE LN, SNELLVILLE, GA 30039-8414
(678) 298-6144
Mailing address
3630 JASMINE COVE LN, SNELLVILLE, GA 30039-8414
(678) 298-6144
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
002971
GA
251E00000X
Home Health Agency
002971
GA
251K00000X
Public Health or Welfare Agency
002971
GA
251S00000X
Community/Behavioral Health Agency
Primary
002971
GA
253Z00000X
In Home Supportive Care Agency
002971
GA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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