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Organization
MIND BODY SOUL COUNSELING SERVICES, LLC
Active
Organization
MIND BODY SOUL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA DIANE KLEMMER (OWNER)
(610) 751-1975
Entity
Organization
Contact information
Practice address
305 PRISM DR., CARROLLTON, GA 30116-5596
(610) 751-1975
Mailing address
305 PRISM DR., CARROLLTON, GA 30116-5596
(610) 751-1975
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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