Organization
ALPHA OMEGA HOLISTIC CARE & COUNSELING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI HARDEMAN LCSW (OWNER)
(678) 561-2171
Entity
Organization
Contact information
Practice address
160 MEMORY LN, STOCKBRIDGE, GA 30281-6263
(678) 561-2171
(678) 619-4399
Mailing address
160 MEMORY LN, STOCKBRIDGE, GA 30281-6263
(678) 561-2171
(678) 619-4399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005202
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158457A
—
GA
Enumeration date
07/28/2015
Last updated
07/28/2015
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