Organization
STACY EKMARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY EKMARK LCSW (OWNER)
(770) 375-2143
Entity
Organization
Contact information
Practice address
1071 CAMBRIDGE SQ STE B, ALPHARETTA, GA 30009-1843
(770) 375-2143
Mailing address
1071 CAMBRIDGE SQ STE B, ALPHARETTA, GA 30009-1843
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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