| NPI | 1982119681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA J. KEY Lpc/Owner 470-629-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: GA LPC009408) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2020-09-18 |