NPI | 1134589294 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE ODUSELU CEO/Licensed Professional Counselor 404-644-5523 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
251S00000X Community/Behavioral Health (Licence: GA LPC008829) | |
Enumeration Date | 2016-03-02 |
Last Update Date | 2024-06-22 |