Organization
MANIFESTING GREATNESS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATESHA SHADAWN MITCHELL LMFT (OWNER/THERAPIST)
(912) 247-1178
Entity
Organization
Contact information
Practice address
4000 DUNWOODY PARK APT 5121, ATLANTA, GA 30338-7966
(470) 890-2900
Mailing address
4000 DUNWOODY PARK APT 5121, ATLANTA, GA 30338-7966
(470) 890-2900
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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