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Organization
WE ARE BACK ON TRACK LLC
Active
Organization
WE ARE BACK ON TRACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYSHA WOOD LPC (OWNER)
(770) 468-3326
Entity
Organization
Contact information
Practice address
1015 TYRONE RD STE 710, TYRONE, GA 30290-2455
(770) 468-3326
Mailing address
1015 TYRONE RD STE 710, TYRONE, GA 30290-2455
(770) 468-3326
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 007168
GA
Other
Enumeration date
09/08/2015
Last updated
05/03/2024
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