| Center For Awareness And Evolvement | |
|
1568 Cloverdale Dr Marietta GA 30067-7406 | |
| (678) 571-3207 | |
| Not Available |
| Full Name | Center For Awareness And Evolvement |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1568 Cloverdale Dr, Marietta, Georgia |
| Authorized Official Name and Position | Sonia A Torretto (OWNER) |
| Authorized Official Contact | 6785713207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Awareness And Evolvement 1568 Cloverdale Dr Se Marietta GA 30067-7406 Ph: (678) 571-3207 | Center For Awareness And Evolvement 1568 Cloverdale Dr Marietta GA 30067-7406 Ph: (678) 571-3207 |
| NPI Number | 1629433438 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 12/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629433438 | NPI | - | NPPES |
| 001643 | Other | GA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001643 (Georgia) | Primary |
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