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Organization

SERENITY CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA CALLOWAY LPC (OWNER/PROFESSIONAL COUNSELOR)
(678) 640-7141
Entity
Organization

Contact information

Practice address
362 RACETRACK RD, MCDONOUGH, GA 30252-1022
(678) 640-7141
Mailing address
362 RACETRACK RD, MCDONOUGH, GA 30252-1022
(678) 640-7141

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC003374
GA

Other

Enumeration date
01/15/2012
Last updated
01/15/2012
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