Organization
PARACLETE CHRISTIAN COUNSELING AND EDUCATIONAL SERVICES
Active
Organization
PARACLETE CHRISTIAN COUNSELING AND EDUCATIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED RICHARD REYNOLDS DMIN (OWNER)
(770) 599-1102
Entity
Organization
Contact information
Practice address
252 SEAVY ST, SENOIA, GA 30276-1806
(770) 599-1102
(770) 599-0806
Mailing address
252 SEAVY ST, P.O. BOX 147, SENOIA, GA 30276-1806
(770) 599-1102
(770) 599-0806
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC001386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237506833A
—
GA
Enumeration date
11/09/2009
Last updated
11/09/2009
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