Organization
GEORGIA DBT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSSA REID LPC (OWNER)
(404) 839-0011
Entity
Organization
Contact information
Practice address
333 ALCOVY ST STE 6, MONROE, GA 30655-2180
(404) 839-0011
(888) 533-7063
Mailing address
PO BOX 1332, DACULA, GA 30019-0023
(404) 839-0011
(888) 533-7063
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
GA
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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