| NPI | 1003733130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM OSTRANDER Clinical Director, Lpc 678-234-3110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2026-06-30 |
| Last Update Date | 2026-06-30 |