Provider Demographics
NPI:1104235696
Name:HIGHER GROUND COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:HIGHER GROUND COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:MONTWID
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-864-2125
Mailing Address - Street 1:11675 CENTURY DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-8366
Mailing Address - Country:US
Mailing Address - Phone:770-864-2125
Mailing Address - Fax:678-551-7229
Practice Address - Street 1:11675 CENTURY DR
Practice Address - Street 2:SUITE C
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-8366
Practice Address - Country:US
Practice Address - Phone:770-864-2125
Practice Address - Fax:678-551-7229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007468101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty