Organization
BLUE RIDGE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MITCHELL STAPP MA, LPC, NCC (PRESIDENT/OWNER)
(706) 974-3899
Entity
Organization
Contact information
Practice address
76 SANDCASTLE COURT, DAWSONVILLE, GA 30534-7075
(706) 974-3899
(866) 242-0878
Mailing address
PO BOX 2017, DAWSONVILLE, GA 30534-0036
(706) 974-3899
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004711
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11968290
CAQH/GUHP PROVIDER IDENTIFICATION NUMBER
GA
05
—
847805426B
—
GA
Enumeration date
03/27/2009
Last updated
11/30/2011
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