| Latisha Mcwilliams | |
|
4346 Crestridge Ln Stone Mountain GA 30083-6104 | |
| (205) 213-5927 | |
| Not Available |
| Full Name | Latisha Mcwilliams |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4346 Crestridge Ln, Stone Mountain, Georgia |
| Authorized Official Name and Position | Latisha Mcwilliams (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2052135927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latisha Mcwilliams 4346 Crestridge Ln Stone Mountain GA 30083-6104 Ph: (205) 213-5927 | Latisha Mcwilliams 4346 Crestridge Ln Stone Mountain GA 30083-6104 Ph: (205) 213-5927 |
| NPI Number | 1881077659 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881077659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC006463 (Georgia) | Primary |
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