Organization
BECOMING ME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEJERICA TINSLEY LCSW (OWNER)
(704) 291-0002
Entity
Organization
Contact information
Practice address
540 POWDER SPRINGS ST STE 17, MARIETTA, GA 30064-3549
(229) 252-7584
(229) 252-7584
Mailing address
540 POWDER SPRINGS ST STE 17, MARIETTA, GA 30064-3549
(404) 590-5524
(229) 252-7584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003217511A
—
GA
Enumeration date
01/16/2020
Last updated
01/16/2020
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