Grow Deep Counseling, Llc | |
4830 River Green Pkwy Suite 150 Duluth GA 30096-2505 | |
(770) 331-9988 | |
(770) 492-0301 |
Full Name | Grow Deep Counseling, Llc |
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Speciality | Counselor - Professional |
Location | 4830 River Green Pkwy, Duluth, Georgia |
Authorized Official Name and Position | Kristin Ryan (OWNER, THERAPIST) |
Authorized Official Contact | 7703319988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grow Deep Counseling, Llc Po Box 491172 Lawrenceville GA 30049-0020 Ph: (770) 331-9988 | Grow Deep Counseling, Llc 4830 River Green Pkwy Suite 150 Duluth GA 30096-2505 Ph: (770) 331-9988 |
NPI Number | 1851842553 |
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Provider Enumeration Date | 10/18/2016 |
Last Update Date | 10/18/2016 |
Identifier | Type | State | Issuer |
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1851842553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC003658 (Georgia) | Primary |
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