Provider Demographics
NPI:1316454242
Name:DILBECK COUNSELING& EDUCATION LLC
Entity type:Organization
Organization Name:DILBECK COUNSELING& EDUCATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINNIE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:DILBECK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:478-202-2620
Mailing Address - Street 1:1486 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:HAWKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31036-6736
Mailing Address - Country:US
Mailing Address - Phone:478-202-2620
Mailing Address - Fax:478-246-0366
Practice Address - Street 1:2929 WATSON BLVD # 314
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-8535
Practice Address - Country:US
Practice Address - Phone:478-202-2620
Practice Address - Fax:478-246-0366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-31
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty