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Organization
RESILIENCY BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
RESILIENCY BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
Charles J Popov
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JOSEPH POPOV LPC (LICENSED PROFESSIONAL COUNSELOR)
(770) 668-3130
Entity
Organization
Contact information
Practice address
145 GOVENORS SQUARE, STE A, FAYETTEVILLE, GA 30269
(770) 668-3130
(267) 295-2834
Mailing address
PO BOX 302, TURIN, GA 30289-0302
(770) 668-3130
(267) 295-2834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104588
—
GA
Enumeration date
02/06/2019
Last updated
02/06/2019
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