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Organization
DESTINEE-4-MOR LLC
Active
Organization
DESTINEE-4-MOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA W BURNETT LPC (LPC)
(478) 206-5997
Entity
Organization
Contact information
Practice address
861 FOUR POINTS RD W TRLR 22, KEYSVILLE, GA 30816-4554
(478) 206-5997
Mailing address
861 FOUR POINTS RD W TRLR 22, KEYSVILLE, GA 30816-4554
(478) 206-5997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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