AUSTIN THOMAS SHIVELY

AUGUSTA, GA
NPI1083287742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: GA  APC008650)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2021-07-21
Last Update Date2022-09-26
Business Address
AUSTIN THOMAS SHIVELY LAPC
3633 WHEELER RD STE 365
AUGUSTA, GA 30909-6549
Phone number: 706-432-6866
Mailing Address
AUSTIN THOMAS SHIVELY LAPC
3633 WHEELER RD STE 365
AUGUSTA, GA 30909-6549
Phone number: 706-432-6866