Organization
REDESIGN YOUR LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESSANDRA M ELLIS-LODMELL LCSW (THERAPIST)
(912) 467-9538
Entity
Organization
Contact information
Practice address
130 N GROSS RD STE 205, KINGSLAND, GA 31548-6277
(912) 467-9538
Mailing address
121TIDAL MARSH WAY, SAINT MARYS, GA 31558-5809
(912) 467-9538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
01/15/2025
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