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Organization
NEW LEAF COUNSELING AND RECOVERY, LLC
Active
Organization
NEW LEAF COUNSELING AND RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANYA IRVING-GLYMPH M.ED., LPC (OWNER/DIRECTOR)
(678) 648-6021
Entity
Organization
Contact information
Practice address
107 COLONY PARK DR, SUITE 600, CUMMING, GA 30040-2787
(678) 648-6021
Mailing address
107 COLONY PARK DR, SUITE 600, CUMMING, GA 30040-2787
(678) 648-6021
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC004583
GA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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