Organization
AUTHENTIC SPIRIT COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI FRYAR LPC (OWNER)
(678) 890-6127
Entity
Organization
Contact information
Practice address
2032 MAPLE ST, CARROLLTON, GA 30117
(678) 890-6127
Mailing address
297 NEW CHAPEL RD, WHITESBURG, GA 30185-2803
(678) 890-6127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
07/11/2024
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