| Door Of The Soul, Llc | |
|
1014 Canton St Roswell GA 30075-3615 | |
| (770) 366-2991 | |
| Not Available |
| Full Name | Door Of The Soul, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1014 Canton St, Roswell, Georgia |
| Authorized Official Name and Position | Christina C Plaice (OWNER & PSYCHOTHERAPIST) |
| Authorized Official Contact | 7703662991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Door Of The Soul, Llc 1014 Canton St Roswell GA 30075-3615 Ph: (770) 366-2991 | Door Of The Soul, Llc 1014 Canton St Roswell GA 30075-3615 Ph: (770) 366-2991 |
| NPI Number | 1174070544 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 09/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174070544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 006204 (Georgia) | Primary |
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