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Organization
TOTAL TRANSFORMATION INSTITUTE LLC
Active
Organization
TOTAL TRANSFORMATION INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKHOL B. JACKSON LPC (OWNER)
(770) 377-4834
Entity
Organization
Contact information
Practice address
159 BURKE ST STE 206, STOCKBRIDGE, GA 30281-3442
(404) 919-9600
(404) 393-7767
Mailing address
159 BURKE ST STE 206, STOCKBRIDGE, GA 30281-3442
(770) 377-4834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC007280
GA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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