Organization
HAVEN HOUSE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAALIDA FORBES LCSWC (EXECUTIVE DIRECTOR)
(404) 243-9336
Entity
Organization
Contact information
Practice address
4650 FLAT SHOALS PKWY, DECATUR, GA 30034-5000
(404) 243-9336
(404) 212-1265
Mailing address
4650 FLAT SHOALS PKWY, DECATUR, GA 30034-5000
(404) 243-9336
(404) 212-1265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
GA
Other
Enumeration date
02/09/2014
Last updated
04/28/2014
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