| NPI | 1134508344 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BETH EBINGER Lpc/Co Owner 404-439-9981  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC0060019)  | 
| Enumeration Date | 2015-05-20 | 
| Last Update Date | 2015-05-20 |