Organization
VISIONARY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA S HARRISON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(404) 919-9303
Entity
Organization
Contact information
Practice address
115 E MAIN ST STE A1B-5I, BUFORD, GA 30518-5727
(404) 919-9303
Mailing address
115 E MAIN ST STE A1B-5I, BUFORD, GA 30518-5727
(404) 919-9303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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