Organization
MAYER COUNSELING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA MAYER LPC (MENTAL HEALTH THERAPIST/OWNER)
(404) 453-8255
Entity
Organization
Contact information
Practice address
591 TORONTO CIRCLE, HAMPTON, GA 30228
(404) 453-8255
Mailing address
4343 SHALLOWFORD RD STE C-1, MARIETTA, GA 30062-5023
(404) 453-8255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007040
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133682A
—
GA
Enumeration date
06/28/2013
Last updated
06/28/2013
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