Fountain Gate Counseling Center

LBN: Fountain Gate Life And Wellness, Inc.
Fountain Gate Counseling Center is an health care organization with primary practice located at 2985 Cherokee St Nw , Kennesaw GA 30144-2863. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Fountain Gate Life And Wellness, Inc. can be contacted via phone (770) 218-9005, or through Torell, Craig via phone (770) 218-9005.

Contact Information

Primary practice address
2985 Cherokee St Nw Kennesaw GA 30144-2863
Phone: (770) 218-9005
Fax: (770) 485-8481
Website:
Map and Directions
Authorized official contact:
Name: Torell, Craig M.A., M.DIV., LPC
Phone: (770) 218-9005

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1780966051
LBN Legal business name Fountain Gate Life And Wellness, Inc.
DBA Doing business as Fountain Gate Counseling Center
Authorized official Torell, Craig M.A., M.DIV., LPC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2011
Last updated Nov 3rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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