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Organization
RECOVERY & CONSULTING THROUGH A DIFFERENT LENS
Active
Organization
RECOVERY & CONSULTING THROUGH A DIFFERENT LENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANAH DESILVA LCSW (FOUNDER)
(470) 651-6704
Entity
Organization
Contact information
Practice address
1311 PEBBLE RIDGE LN, HAMPTON, GA 30228-6121
(470) 219-4855
Mailing address
3863 GA-138, PMB 535, STOCKBRIDGE, GA 30281
(470) 651-6704
(844) 492-1148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/01/2021
Last updated
10/01/2024
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