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Organization
A NEW CREATION PSYCHOTHERAPY SERVICES, LLC
Active
Organization
A NEW CREATION PSYCHOTHERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDICE P COOPER PHD, LMFT (OWNER/THERAPIST)
(678) 561-4468
Entity
Organization
Contact information
Practice address
500 LANIER AVE W, SUITE 908, FAYETTEVILLE, GA 30214-7636
(678) 561-4468
Mailing address
500 LANIER AVE W, SUITE 908, FAYETTEVILLE, GA 30214-7636
(678) 561-4468
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001322
GA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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