| NPI | 1174071666 |
|---|---|
| Former Legal Business Name | PLAZA CONSULTANTS LLC |
| Entity Type | Organization |
| Authorized Contact | AARON ROQUEMORE Owner 470-204-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA LPC000524) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 302F00000X Exclusive Provider Organization (Licence: GA MFT000232) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2018-03-21 |