Change Agents Counseling & Consulting, Llc | |
5115 Chastleton Dr Stone Mountain GA 30087-1443 | |
(404) 207-9359 | |
Not Available |
Full Name | Change Agents Counseling & Consulting, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 5115 Chastleton Dr, Stone Mountain, Georgia |
Authorized Official Name and Position | Karria L James (OWNER) |
Authorized Official Contact | 4042079359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Change Agents Counseling & Consulting, Llc Po Box 1048 Tucker GA 30085-1048 Ph: (404) 207-9359 | Change Agents Counseling & Consulting, Llc 5115 Chastleton Dr Stone Mountain GA 30087-1443 Ph: (404) 207-9359 |
NPI Number | 1821546995 |
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Provider Enumeration Date | 09/16/2016 |
Last Update Date | 09/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821546995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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