Provider Demographics
NPI:1902572159
Name:COUNSELING & PSYCHOLOGICAL CONSULTING, LLC
Entity Type:Organization
Organization Name:COUNSELING & PSYCHOLOGICAL CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STELZER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:678-388-3379
Mailing Address - Street 1:414 MCAFEE CT NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-3811
Mailing Address - Country:US
Mailing Address - Phone:404-788-7980
Mailing Address - Fax:
Practice Address - Street 1:125 TOWNPARK DR NW
Practice Address - Street 2:STE 300
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-3014
Practice Address - Country:US
Practice Address - Phone:678-388-3379
Practice Address - Fax:770-628-7316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty