| NPI | 1831698869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMETRIA CARSON Therapist/Owner 470-632-0762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC009735) |
| 251S00000X (Licence: GA LPC009735) | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-06 |