| NPI | 1659889830 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MONICA LATRICE COLEMAN Psychotherapist/Practice Administra 678-656-5127 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2018-01-22 | 
| Last Update Date | 2018-01-22 |