PROVISION COUNSELING CENTER LLC

MILLEDGEVILLE, GA
NPI1174396725
Entity TypeOrganization
Authorized ContactSEMIKA ROACH
Lpc/Owner
478-414-1946
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
PROVISION COUNSELING CENTER LLC
1776 N JEFFERSON ST NE STE B
MILLEDGEVILLE, GA 31061-2292
Phone number: 478-414-1946
Mailing Address
PROVISION COUNSELING CENTER LLC
1776 N JEFFERSON ST NE STE B
MILLEDGEVILLE, GA 31061-2292
Phone number: 478-414-1946