Organization
STACI PFEIFFER-COOK LPC, LLC
Active
Other names
The Banyan Tree Center
Organization subpart
No
Provider details
NPI number
Authorized official
STACI PFEIFFER EDS, LPC, CPCS, MAC (FOUNDING CLINICAL DIRECTOR)
(706) 850-7041
Entity
Organization
Contact information
Practice address
1 HUNTINGTON RD STE 103, ATHENS, GA 30606-7205
(706) 850-7041
(706) 850-7042
Mailing address
1 HUNTINGTON RD STE 103, ATHENS, GA 30606-7205
(706) 850-7041
(706) 850-7042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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