Organization
EBENEZER COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR T KNIGHT LPC (THERAPIST)
(404) 556-9544
Entity
Organization
Contact information
Practice address
5825 GLENRIDGE DR., BDL. 3 SUITE 101, ATLANTA, GA 30328
(404) 556-9544
Mailing address
656 SIMON IVE DRIVE, LAWRENCEVILLE, GA 30045
(404) 556-9544
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LPC008502
GA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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