| NPI | 1649702739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY TAYLOR CARTER Licensed Professional Counselor 706-284-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC006844) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |