Individual
LARVITTA SHAWNET BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1200 ALTMORE AVE STE 200, SANDY SPRINGS, GA 30342-2495
(770) 282-7123
Mailing address
7413 CHASTAIN DR NE, ATLANTA, GA 30342-4184
(770) 231-9490
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014231
GA
Other
Enumeration date
09/08/2023
Last updated
12/08/2023
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