Organization
ABUNDANCE OF LIFE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAEL BYRON M.S. (OWNER/C.E.O)
(706) 553-1318
Entity
Organization
Contact information
Practice address
100 HARTSFIELD CENTER PKWY STE 500, ATLANTA, GA 30354-1377
(706) 553-1318
Mailing address
141 PALMETTO ST, LOCUST GROVE, GA 30248-7204
(706) 553-1318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/20/2015
Last updated
01/04/2017
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