Organization
MOSS ORCHIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY MOSS LPC (OWNER/COUNSELOR)
(706) 570-9548
Entity
Organization
Contact information
Practice address
6109 KENSINGTON TRL, STONECREST, GA 30038-3244
(706) 570-9548
Mailing address
6109 KENSINGTON TRL, STONECREST, GA 30038-3244
(678) 590-1430
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
01/17/2023
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