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Organization
DEERFIELD ASSOCIATES, LLC
Active
Organization
DEERFIELD ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANISSA KENYATTA HOWARD LPC, LMFT (CHIEF EXECUTIVE DIRECTOR)
(478) 238-3795
Entity
Organization
Contact information
Practice address
507 N DAVIS DR STE 1A, WARNER ROBINS, GA 31093-2687
(478) 238-3795
(478) 202-9018
Mailing address
PO BOX 6934, WARNER ROBINS, GA 31095-6934
(478) 238-3795
(478) 202-9018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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