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Organization
VILLAGE HEALTH INITIATIVE
Active
Organization
VILLAGE HEALTH INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERLESE M CARUTH NCC, LPC, C-MFT (DIRECTOR)
(678) 480-8302
Entity
Organization
Contact information
Practice address
386 PINE ST NE, ATLANTA, GA 30308-2532
(678) 480-8302
Mailing address
386 PINE ST NE, ATLANTA, GA 30308-2532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006820
GA
Other
Enumeration date
01/13/2016
Last updated
01/20/2016
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