| NPI | 1508344581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES JILL OLDHAM Therapist/Owner 770-337-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW002086) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |