South River Counseling & Consulting, LLC

NPI #1508344581 in Conyers, Georgia

Provider Information

NPI Number: 1508344581
Entity Type: Organization
Organization Name: South River Counseling & Consulting, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 1, 2018
Last Updated: Aug 1, 2018

Practice Location

Address: 1430 STARCREST DR NE
City: Conyers
State: Georgia
ZIP Code: 30012-3830
Phone: (470) 252-8270

Authorized Official

Name: MS. FRANCES JILL OLDHAM, LPC, NCC
Title: THERAPIST/OWNER
Phone: (770) 337-8591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor - Professional — Professional	101YP2500X	Primary

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