| A Breath Of Fresh Air Counseling Llc | |
|
55 Atlanta St Se Marietta GA 30060-1977 | |
| (470) 238-9475 | |
| (470) 533-1545 |
| Full Name | A Breath Of Fresh Air Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 55 Atlanta St Se, Marietta, Georgia |
| Authorized Official Name and Position | Tanesha Danielle Walker (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4702389475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Breath Of Fresh Air Counseling Llc Po Box 158 Marietta GA 30061-0158 Ph: (773) 263-6533 | A Breath Of Fresh Air Counseling Llc 55 Atlanta St Se Marietta GA 30060-1977 Ph: (470) 238-9475 |
| NPI Number | 1356985303 |
|---|---|
| Provider Enumeration Date | 11/02/2019 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356985303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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