ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC


Address: 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043
Phone: 7707873788

ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC (NPI# 1932611688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932611688
Entity Type Organization
Organization Name ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC
Practice Address 1755 North Brown Road, Suite 200
Lawrenceville
GA 30043
Practice Telephone 7707873788
Practice Fax Number 7707865159
Mailing Telephone 7707873788
Mailing Fax Number 7707865159
Enumeration Date 2017-11-02
Last Update Date 2017-11-02
Authorized Official Name ANGELA CLARK (CEO/OWNER)
Authorized Official Telephone 7707873788
Authorized Official Credential CEO/MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 251B00000X Case Management Agencies
N 251S00000X Community/Behavioral Health Agencies
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 942032473A 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508051178 Asfc Outreach Therapeutic Counseling Services, LLC Case Management 4146 Highway 278 Ne, Covington, GA 30014-2494 2007-09-07

Office Location

Street Address 1755 NORTH BROWN ROAD, SUITE 200
City LAWRENCEVILLE
State GA
Zip Code 30043

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609483882 Brittany Javier Dunn Counselor 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 2020-09-30
1629614037 Terrea Gina Bridges Behavior Technician 2387 Huntcrest Rd, Lawrenceville, GA 30043 2019-11-20
1215581756 Elegant Lm Management, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1020 Meadowsong Circle, Lawrenceville, GA 30043 2019-08-01
1093299778 Shareef Nahas Clinical Medical Laboratory 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 2018-09-19
1649766874 Nutritionecw LLC Dietitian, Registered 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 2018-07-11
1962997965 David Le Nguyen Dentist 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 2018-06-22
1518486810 Shira Brey Williams Specialist/Technologist 1030 Collins Hill Rd, Lawrenceville, GA 30043 2017-09-18
1700300795 Nympha J. Mathurin Meadows Behavioral Analyst 650 Oxford Crest Ct, Lawrenceville, GA 30043 2017-08-01
1992245591 Jagruti Chaudhari Nurse Practitioner 855 Buford Drive, Lawrenceville, GA 30043 2017-03-01
1962949628 Rebekah Snow Behavioral Analyst 2387 Huntcrest Way, Lawrenceville, GA 30043 2017-01-19
Find all providers in zip 30043

Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487887055 R.t.alexander, PC Clinic/Center 1980 Riverside Pkwy Ste 101, Lawrenceville, GA 30043-5943 2009-08-31
1942834411 Pregnancy Resource Center of Gwinnett Clinic/Center 565 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046 2020-02-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629693411 Priority Health and Wellness Clinic/Center 3855 Oakview Dr Ste 400, Powder Springs, GA 30127-2233 2020-06-08
1508494519 Solvent LLC Clinic/Center 104 Brandon Way, Byron, GA 31008-5433 2020-03-27
1275178683 Lezthon Homecare Inc Clinic/Center 2884 Snapfinger Mnr, Decatur, GA 30035-4167 2019-11-08
1023650231 Tony Moses Clinic/Center 4650 Dawn Ct, Columbus, GA 31907-6655 2019-10-09
1174183172 Your Choice Home Care LLC Clinic/Center 3326 Madison Ridge Trl, Snellville, GA 30039-6815 2019-06-20
1700357878 The Shafiq Group Clinic/Center 910 Athens Hwy Ste K245, Loganville, GA 30052-4952 2018-12-16
1518477157 Choosing Independence Inc Clinic/Center 115 Martin Luther King Jr Dr Sw Ste 225-102, Atlanta, GA 30303-3536 2017-10-10
1295256857 Brittany Carter Lcsw LLC Clinic/Center 5000 Austell Powder Springs Rd Ste 283-1, Austell, GA 30106-2442 2017-07-03
1922539725 Mpowerr Health & Wellness of Atlanta Inc. Clinic/Center 3616 Ginnis Rd Sw Unit 2, Atlanta, GA 30331-8574 2017-03-23
1093172652 M D Whitest Medical Institute Inc Clinic/Center 401 N 15th St, Cordele, GA 31015-2932 2016-01-26
Find all providers with the same taxonomy

Competitor

Search similar providers

City LAWRENCEVILLE
Zip Code 30043

Improve Information

Please comment or provide details below to improve the information on ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches