Organization
SOS COUNSELING AND CONSULTATION GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KABIAN BROWN LCSW (OWNER)
(210) 560-0959
Entity
Organization
Contact information
Practice address
2336 WISTERIA DR STE 440, SNELLVILLE, GA 30078-6160
(770) 733-1469
Mailing address
2336 WISTERIA DR STE 440, SNELLVILLE, GA 30078-6160
(770) 733-1469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
CSW005953
GA
Other
Enumeration date
07/24/2018
Last updated
01/09/2020
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