Organization
IBORI COUNSELING & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORCOL GOMILLION LPC (OWNER/CEO)
(404) 852-0794
Entity
Organization
Contact information
Practice address
285 W WIEUCA RD NE # 4260, ATLANTA, GA 30342-3321
(404) 852-0794
Mailing address
285 W WIEUCA RD NE # 4260, ATLANTA, GA 30342-3321
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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