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Organization
STREAMS OF LIFE COUNSELING AND EDUCATIONAL SERVICES, LLC
Active
Organization
STREAMS OF LIFE COUNSELING AND EDUCATIONAL SERVICES, LLC
Active
Parent organization
STREAMS OF LIFE COUNSELING AND EDUCATIONAL SERVICES, LLC
Other names
Rena Glass-Dixon, Manager, STREAMS OF LIFE COUNSELING AND EDUCATIONAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STREAMS OF LIFE COUNSELING AND EDUCATIONAL SERVICES, LLC
Authorized official
DR. RENA GLASS-DIXON PHD, LCSW (CLINICIAN/THERAPIST - MANAGER)
(404) 388-7981
Entity
Organization
Contact information
Practice address
990 IRIS DR SW STE 103, CONYERS, GA 30094-6602
(770) 369-9984
Mailing address
PO BOX 82653, CONYERS, GA 30013-9439
(404) 388-7981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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