NPI 1184143042

Populations and Interventions Team Company (pitc)

Organisation Rehabilitation Counselor Douglasville, GA

Practice location

Address: 3182 Berthas Overlook, Douglasville, GA 30135-8458
Phone: (678) 310-9707
Fax: (470) 875-0083

Authorised official

Name: Mercedes Merritt Williams
Title: Ceo/Owner
Phone: (678) 310-9707

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 28315 (IN)

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Registry record

NPI: 1184143042
Entity type: Organization
NPI issued: 12 Sep 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.