Organization
GATHERING PRECIOUS STONES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE DENISE GREEN LPC (CEO/OWNER)
(404) 913-9114
Entity
Organization
Contact information
Practice address
817 PAVILION CT, MCDONOUGH, GA 30253-6666
(404) 913-9114
(404) 923-9933
Mailing address
817 PAVILION CT, MCDONOUGH, GA 30253-6666
(404) 913-9114
(404) 813-9114
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149794A
—
GA
Enumeration date
11/16/2011
Last updated
12/30/2025
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