Provider Demographics
NPI:1386330546
Name:GIRASOLES COUNSELING LLC
Entity type:Organization
Organization Name:GIRASOLES COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER/ LPC
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:MONCAYO GILSTRAP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CCTP, CADC-II
Authorized Official - Phone:404-590-6947
Mailing Address - Street 1:PO BOX 2373
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-1690
Mailing Address - Country:US
Mailing Address - Phone:404-590-6947
Mailing Address - Fax:
Practice Address - Street 1:650 HENDERSON DR STE 406
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3758
Practice Address - Country:US
Practice Address - Phone:770-334-2493
Practice Address - Fax:770-334-2675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health