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Organization
GRACEOL COUNSELING CENTER INC
Active
Organization
GRACEOL COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YEMI JOKE SOWEMIMO FNP-C (CEO)
(404) 839-2688
Entity
Organization
Contact information
Practice address
1035 HONEY CREEK RD SE, CONYERS, GA 30013-2948
(404) 839-2688
(770) 922-9498
Mailing address
1035 HONEY CREEK RD SE, CONYERS, GA 30013-2948
(404) 839-2688
(770) 922-9498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN229849
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639177066
NPI
GA
01
—
1790107381
NPI
GA
01
—
1912016411
NPI
—
Enumeration date
10/06/2017
Last updated
06/16/2018
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