Individual
ENNISIA TEKEISHA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 EAGLES CREST LN, MCDONOUGH, GA 30253-4265
(404) 694-5469
Mailing address
1700 NORTHSIDE DRIVE NW, SUITE A7 UNIT# 5188, ATLANTA, GA 30318
(404) 694-5469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006525
GA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
01/15/2016
Last updated
12/19/2025
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