Provision Counseling Center LLC
NPI #1174396725 in Milledgeville, Georgia
Provider Information
- NPI Number
- 1174396725
- Entity Type
- Organization
- Organization Name
- Provision Counseling Center LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 6, 2023
- Last Updated
- Nov 6, 2023
Practice Location
- Address
- 1776 N JEFFERSON ST NE STE B
- City
- Milledgeville
- State
- Georgia
- ZIP Code
- 31061-2292
- Phone
- (478) 414-1946
Authorized Official
- Name
- SEMIKA ROACH
- Title
- LPC/OWNER
- Phone
- (478) 414-1946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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