Provider Demographics
NPI:1972351450
Name:DOUBLE SPIRALS LLC
Entity type:Organization
Organization Name:DOUBLE SPIRALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CRC
Authorized Official - Phone:404-548-8335
Mailing Address - Street 1:4375 SCOTLAND CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-8454
Mailing Address - Country:US
Mailing Address - Phone:404-548-8335
Mailing Address - Fax:770-470-0530
Practice Address - Street 1:4375 SCOTLAND CT
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-8454
Practice Address - Country:US
Practice Address - Phone:404-548-8335
Practice Address - Fax:770-470-0530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty