COOL PROGRAM COUNSELING SERVICES, LLC – NPI #1366019994
Clinic/Center

COOL PROGRAM COUNSELING SERVICES, LLC is an AHC clinic located in MORROW, GA. NPPES has assigned the NPI number 1366019994 to COOL PROGRAM COUNSELING SERVICES, LLC on June 10, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COOL PROGRAM COUNSELING SERVICES, LLC below.

NPI Profile for
COOL PROGRAM COUNSELING SERVICES, LLC

NPI Number
1366019994
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COOL PROGRAM COUNSELING SERVICES, LLC
Primary location
1115 MOUNT ZION RD STE 18B
MORROW, GA 30260-2275
Phone: (404) 964-2818 Fax: (678) 868-9433
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT HENDRIX
CEO / PROGRAM MANAGER
Phone: (404) 964-2818
Updated
Certification Date
Jun 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1115 MOUNT ZION RD STE 18B,
MORROW, GA 77025-1669