Organization
MCKINNEY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ADELE MCKINNEY LPC (OWNER/PROVIDER)
(404) 281-1698
Entity
Organization
Contact information
Practice address
3445 BUFFINGTON CENTER, ATLANTA, GA 30349-2941
(404) 281-1698
(404) 968-4562
Mailing address
2440 MCCALL CT, DOUGLASVILLE, GA 30135-3093
(404) 281-1698
(404) 968-4562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC003685
GA
101YP2500X
Professional Counselor
Primary
LPC003685
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104528A
—
GA
Enumeration date
02/28/2011
Last updated
02/28/2011
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