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Organization
LINKS TO PEOPLE
Active
Organization
LINKS TO PEOPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA DOUB OLIVER LCSW (CHIEF OPERATING OFFICER)
(404) 808-4127
Entity
Organization
Contact information
Practice address
3276 WOLF CLUB LANE, ATLANTA, GA 30349-8710
(404) 808-4127
(404) 344-4891
Mailing address
3276 WOLF CLUB LANE, SW, ATLANTA, GA 30349-8710
(404) 808-4127
(404) 344-4891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW001148
GA
171M00000X
Case Manager/Care Coordinator
—
GA
Other
Enumeration date
03/22/2007
Last updated
09/11/2025
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