Organization
KIRK CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG M KIRK LPC (CEO)
(229) 924-2885
Entity
Organization
Contact information
Practice address
1508 CRAWFORD ST, AMERICUS, GA 31709-3296
(229) 924-2885
Mailing address
P.O. BOX 6085, AMERICUS, GA 31709-3296
(229) 924-2885
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
LPC 0002475
GA
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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