| NPI | 1205961232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S FREEMAN Owner President 770-251-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC003462) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC002899) |
| 103TC0700X Psychologist Clinical (Licence: GA PSY002042) | |
| 103TC0700X Psychologist Clinical (Licence: GA PSY002820) | |
| 103TC0700X Psychologist Clinical (Licence: GA PSY001469) | |
| 103TC0700X Psychologist Clinical (Licence: GA PSY002947) | |
| 103TC0700X Psychologist Clinical (Licence: GA PSY002610) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-24 |