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Organization
THE COMFY PLACE LLC
Active
Organization
THE COMFY PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA N IBEKWE LCSW (OWNER/CEO)
(770) 265-0184
Entity
Organization
Contact information
Practice address
182 RILEY AVE STE E2, MACON, GA 31204-0776
(770) 265-0184
Mailing address
3001 BRASS DR, AUSTELL, GA 30106-1043
(470) 242-6140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006976
LCSW
GA
Enumeration date
01/30/2020
Last updated
01/30/2020
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