Organization · Type 2 NPI
My Epiphany Counseling and Consultation Services, Llc.
Mental Health Clinic/Center (Including Community Mental Health Center) · Tyrone, GA
NPI number
1366730079
Active
Practice location
120 Millbrook Village Dr
Tyrone, GA 30290-3605
Fax (678) 782-5491
Mailing address
809 Kohl Dr
Mcdonough, GA 30253-7489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor | 101YP2500X | 005233 (GA) |
| Professional Counselor | 101YP2500X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
About NPI 1366730079
My Epiphany Counseling and Consultation Services, Llc.'s National Provider Identifier is 1366730079, issued on Jul 14, 2011. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tyrone, GA. The record was last updated on Nov 10, 2023.