Provider Demographics
NPI:1699446260
Name:BLISSFUL BEGINNINGS COUNSELING
Entity type:Organization
Organization Name:BLISSFUL BEGINNINGS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-309-5477
Mailing Address - Street 1:3035 STONE MOUNTAIN ST UNIT 2073
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-1119
Mailing Address - Country:US
Mailing Address - Phone:770-309-5477
Mailing Address - Fax:
Practice Address - Street 1:4077 CHAMBLEE DUNWOODY ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338
Practice Address - Country:US
Practice Address - Phone:770-309-5477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty