Organization
MIRACLES OUTREACH INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EYVETTE ABBOTT (CEO/ COUNSELOR)
(336) 473-9933
Entity
Organization
Contact information
Practice address
6825 JIMMY CARTER BLVD STE 1570B, NORCROSS, GA 30071-1215
(336) 744-6000
Mailing address
6825 JIMMY CARTER BLVD STE 1570B, NORCROSS, GA 30071-1215
(336) 744-6000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
10/20/2020
Last updated
02/05/2025
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