OrganizationActive
Panacea Counseling Services LLC
NPI 1013249283 · Community/Behavioral Health Agency · Riverdale, GA
Provider details
- NPI number
- 1013249283
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carlton Gray, Co-Founder(404) 723-4644
- License
- LPC005841 (GA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1436 King Rd
Riverdale, GA 30296-2915
Phone: (404) 510-9358
Street-level locationGet directions
Mailing address
5436 Glen Haven Dr
College Park, GA 30349-6481
Registry dates
- Enumerated
- 2010-02-12
- Last updated
- 2010-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.