Provider Demographics
NPI:1366219636
Name:THE COUNSELORS CORNER
Entity type:Organization
Organization Name:THE COUNSELORS CORNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BELLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-712-6533
Mailing Address - Street 1:7805 WATERS AVE STE 10B-2
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2441
Mailing Address - Country:US
Mailing Address - Phone:912-712-5733
Mailing Address - Fax:
Practice Address - Street 1:7805 WATERS AVE STE 10B-2
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2441
Practice Address - Country:US
Practice Address - Phone:912-712-5733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty