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Organization
TAKES A VILLAGE II
Active
Organization
TAKES A VILLAGE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA-TOYA JENKINS (DIRECTOR/ CLINICIAN)
(804) 404-8241
Entity
Organization
Contact information
Practice address
13010 MORRIS RD STE 650, ALPHARETTA, GA 30004-5197
(507) 400-8839
(804) 800-4483
Mailing address
PO BOX 1442, HOPEWELL, VA 23860-1442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/09/2022
Last updated
09/21/2022
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