Organization
ANTIOCH CHRISTIAN CENTER, INC
Active
Other names
Behavioral Health Services, Rehab, Healthcare Provider, Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RICHARDSON (ADMINISTRATOR)
(313) 805-5386
Entity
Organization
Contact information
Practice address
2879 HERITAGE OAKS CIR, DACULA, GA 30019-7082
(313) 805-5386
Mailing address
2879 HERITAGE OAKS CIR, DACULA, GA 30019-7082
(313) 805-5386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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