Provider Demographics
NPI:1427176551
Name:BLENDA C. SING, MS, LPC, MAC, CCFC, PC
Entity type:Organization
Organization Name:BLENDA C. SING, MS, LPC, MAC, CCFC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BLENDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-985-7178
Mailing Address - Street 1:2386 CLOWER ST
Mailing Address - Street 2:BUILDING, G, SUITE 202
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6134
Mailing Address - Country:US
Mailing Address - Phone:770-985-7178
Mailing Address - Fax:770-985-7190
Practice Address - Street 1:3635 WINTERBERRY LN
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4041
Practice Address - Country:US
Practice Address - Phone:770-985-7178
Practice Address - Fax:770-985-7190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0001792101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty