Organization
REDWOOD COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STUART PERRY MA,LPC,NCC (PRESIDENT AND CEO)
(678) 371-4803
Entity
Organization
Contact information
Practice address
220 WERNER WAY, SENOIA, GA 30276-3615
(678) 371-4803
(678) 723-0936
Mailing address
805 GLYNN ST S, STE 127#326, FAYETTEVILLE, GA 30214-2077
(678) 371-4803
(678) 723-0936
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649577529
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
—
Enumeration date
05/21/2021
Last updated
02/05/2024
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