Organization
MSR COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLA ROUNTREE LPC (OWNER)
(229) 460-2887
Entity
Organization
Contact information
Practice address
3310 BEMISS RD, VALDOSTA, GA 31605-7014
(229) 586-6082
(229) 922-9374
Mailing address
3310 BEMISS RD, VALDOSTA, GA 31605-7014
(229) 586-6082
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC007316
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366880601
BLUE CROSS BLUE SHIELD/ANTHEM
GA
Enumeration date
12/20/2016
Last updated
01/31/2024
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