Organization
AGAPE TRANSFORMATION PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARRION D LALOR LPC (CEO)
(678) 753-5248
Entity
Organization
Contact information
Practice address
235 E PONCE DE LEON AVE STE 103, DECATUR, GA 30030-3412
(678) 753-5248
(404) 585-3054
Mailing address
4978 RIVER OVERLOOK WAY, LITHONIA, GA 30038-6234
(678) 753-5248
(404) 585-3054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006638
GA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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