Provider Demographics
NPI:1063782316
Name:DBT COACHING & COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:DBT COACHING & COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOVANEC
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-367-3337
Mailing Address - Street 1:317 CREEKSTONE RDG
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3745
Mailing Address - Country:US
Mailing Address - Phone:770-367-3337
Mailing Address - Fax:770-516-3018
Practice Address - Street 1:317 CREEKSTONE RDG
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3745
Practice Address - Country:US
Practice Address - Phone:770-367-3337
Practice Address - Fax:770-516-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1730486796OtherNPI