| NPI | 1053958611 |
|---|---|
| Other Name | MBR COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | TIESHEKIA FOWLKS Owner 404-468-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |