Organization
GRANDMA'S PORCH FAMILY SUPPORT SERVICES LLC
Active
Organization
GRANDMA'S PORCH FAMILY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIETRA TAYLOR LPC (OWNER)
(678) 607-5735
Entity
Organization
Contact information
Practice address
3915 CASCADE RD SW, SUITE T132, ATLANTA, GA 30331-8512
(678) 607-5735
Mailing address
1466 COPELAND AVE SW, ATLANTA, GA 30310-2501
(202) 250-9420
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006401
GA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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