National Provider Identifier Database

IMAGINE PEACE COUNSELING LLC
Professional


Contact Information

IMAGINE PEACE COUNSELING LLC
223 E 2ND STREET
SUITE B
TIFTON, GA31794
Phone: 229-339-3721
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for IMAGINE PEACE COUNSELING LLC

NPI Number 1538606306
Legal business name
LBN
IMAGINE PEACE COUNSELING LLC
Authorized official CHRISTY BELL-WITHERS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/31/2017
Last updated 01/31/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: LPC009159

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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