Organization
INTEGRATED WELLNESS OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RASHIDA THOMAS LPC (THERAPIST)
(678) 400-2053
Entity
Organization
Contact information
Practice address
544 MEDLOCK RD, SUITE 106, DECATUR, GA 30030-1515
(678) 400-2053
Mailing address
544 MEDLOCK RD, SUITE 106, DECATUR, GA 30030-1515
(678) 400-2053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006469
GA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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