Organization
INTEGRATED MINDSETS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURISA BRODSKY VERSEL LPC (OWNER)
(770) 953-4744
Entity
Organization
Contact information
Practice address
3860 WINDERMERE PKWY STE 203, CUMMING, GA 30041-7034
(770) 953-4744
Mailing address
1827 POWERS FERRY RD SE BLDG 22, ATLANTA, GA 30339-5621
(770) 953-4744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC003680
LICENSE
GA
Enumeration date
09/12/2019
Last updated
09/12/2019
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