OrganizationActive
Medical Group Consultant LLC
NPI 1346586567 · Professional Counselor · Rex, GA
Provider details
- NPI number
- 1346586567
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Holly Mims, Clinical Director(410) 905-5678
- License
- LPC5081 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
6337 Highway 42
Suite 3
Rex, GA 30273-1651
Phone: (404) 895-5510
Approximate (ZIP-level) locationGet directions
Mailing address
6337 Highway 42
Rex, GA 30273-1651
Registry dates
- Enumerated
- 2012-12-15
- Last updated
- 2012-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.