Organization
AWAKEN MIND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHUNDRA VINES (LICENSED PROFESSIONAL COUNSELOR)
(678) 463-6053
Entity
Organization
Contact information
Practice address
11285 ELKINS RD STE F1B, ROSWELL, GA 30076-5837
(678) 206-8819
Mailing address
11285 ELKINS RD STE F1B, ROSWELL, GA 30076-5837
(678) 206-8819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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