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Organization
CONSCIOUS LIVING THERAPY SERVICES LLC
Active
Organization
CONSCIOUS LIVING THERAPY SERVICES LLC
Active
Other names
Conscious Living Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN AUSTIN TEAL LCSW (OWNER)
(901) 604-7463
Entity
Organization
Contact information
Practice address
1441 WOODMONT LN NW # 1988, ATLANTA, GA 30318-2866
(901) 604-7463
Mailing address
1441 WOODMONT LN NW # 1988, ATLANTA, GA 30318-2866
(901) 604-7463
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/23/2021
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