NPI | 1023521473 |
---|---|
Entity Type | Organization |
Authorized Contact | LASHANDA L EDWARDS Therapist/Clinican/Counselor 404-594-3857 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005680) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA CSW005680) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2022-01-24 |