Organization
CROSSWAY COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA G MCMICHEN EDS, LPC (OWNER)
(678) 858-2640
Entity
Organization
Contact information
Practice address
440 RACETRACK RD, MCDONOUGH, GA 30252-6837
(678) 858-2640
Mailing address
440 RACETRACK RD, MCDONOUGH, GA 30252-6837
(678) 858-2640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC4440
GA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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