| NPI | 1407218993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY SCOTT BERT Professional Counselor 470-236-3478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008838) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |