Organization
MBR COUNSELING SERVICES
Active
Other names
MBR Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIESHEKIA FOWLKS LLPC (OWNER)
(404) 468-4558
Entity
Organization
Contact information
Practice address
2900 CHAMBLEE TUCKER RD BLDG 5, ATLANTA, GA 30341-4100
(404) 468-4558
Mailing address
PO BOX 473, CLARKSTON, GA 30021-0473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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