Organization
SURVIVING TRANSITIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEVANDER DYKES LPC (DIRECTOR)
(678) 934-2041
Entity
Organization
Contact information
Practice address
8307 OFFICE PARK DR, SUITE E, DOUGLASVILLE, GA 30134-6935
(678) 796-6174
(678) 261-1641
Mailing address
8307 OFFICE PARK DR, SUITE E, DOUGLASVILLE, GA 30134-6935
(678) 796-6174
(678) 261-1641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007614
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150781A
—
GA
Enumeration date
01/12/2017
Last updated
01/12/2017
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