Organization
IMMERSIVE PROPERTIES, LLC
Active
Other names
Evolve Therapy and Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MILES BROWN LPC (LICENSED PROFESSIONAL COUNSELOR)
(404) 507-6202
Entity
Organization
Contact information
Practice address
1400 BUFORD HWY STE R-8, BUFORD, GA 30518-8721
(404) 507-6202
Mailing address
722 COLLINS HILL RD STE H-234, LAWRENCEVILLE, GA 30046-4118
(404) 507-6202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007974
GA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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