Organization
SELF LOVE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY L EVANS LCSW (ORGANIZER)
(404) 324-7264
Entity
Organization
Contact information
Practice address
530 FOREST PKWY, FOREST PARK, GA 30297-2188
(404) 324-7264
Mailing address
PO BOX 48192, DORAVILLE, GA 30362-1192
(404) 324-7264
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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