Provider Demographics
NPI:1669711610
Name:DM COUNSELING, LLC
Entity type:Organization
Organization Name:DM COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEIDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-852-0265
Mailing Address - Street 1:PO BOX 391772
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-0030
Mailing Address - Country:US
Mailing Address - Phone:678-852-0265
Mailing Address - Fax:672-562-2272
Practice Address - Street 1:2330 SCENIC HWY S
Practice Address - Street 2:SUITE 107
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-3115
Practice Address - Country:US
Practice Address - Phone:678-852-0265
Practice Address - Fax:678-562-2272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4421251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health