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Organization
PRODIGY THERAPEUTIC SOLUTIONS LLC
Active
Organization
PRODIGY THERAPEUTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAPORSHE E SMITH (PROFESSIONAL COUNSELOR)
(404) 399-4364
Entity
Organization
Contact information
Practice address
2727 PACES FERRY RD SE # 750, ATLANTA, GA 30339-4053
(470) 965-6726
Mailing address
2727 PACES FERRY RD SE # 727, ATLANTA, GA 30339-4053
(470) 965-6726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/18/2023
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