Organization
FACES, LLC
Active
Other names
FACES Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS MAE MOSS LCSW (THERAPIST)
(770) 861-0253
Entity
Organization
Contact information
Practice address
1 W COURT SQ STE 750, DECATUR, GA 30030-2545
(770) 861-0253
(404) 494-7701
Mailing address
318 SAINT PAULS CT, STOCKBRIDGE, GA 30281-1092
(770) 861-0253
(404) 494-7701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW005033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
CLINICAL SOCIAL WORKER
GA
Enumeration date
06/11/2014
Last updated
06/11/2014
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