Organization
COUNSELING & PSYCHIATRY OF GWINNETT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ANDERSON MS, LMFT (CEO)
(770) 978-9393
Entity
Organization
Contact information
Practice address
2301 HENRY CLOWER BLVD, SUITE A, SNELLVILLE, GA 30078-3152
(770) 978-9393
(770) 978-9324
Mailing address
2301 HENRY CLOWER BLVD, SUITE A, SNELLVILLE, GA 30078-3152
(770) 978-9393
(770) 978-9324
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
001166
GA
1041C0700X
Clinical Social Worker
CSW03196
GA
106H00000X
Marriage & Family Therapist
000290
GA
106H00000X
Marriage & Family Therapist
MFT000665
GA
2084P0800X
Psychiatry Physician
Primary
040961
GA
2084P0804X
Child & Adolescent Psychiatry Physician
045522
GA
363A00000X
Physician Assistant
7551
GA
363A00000X
Physician Assistant
7753
GA
363A00000X
Physician Assistant
7799
GA
Other
Enumeration date
05/10/2006
Last updated
03/23/2016
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