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Organization

BUILDING BRIGHTER FUTURES BY ARLEVIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING MANAGER)
(912) 484-3879
Entity
Organization

Contact information

Practice address
50 LENOX POINTE NE, ATLANTA, GA 30324-3170
(760) 962-2153
Mailing address
6760 GREY ROCK WAY, LITHONIA, GA 30058-3077
(706) 962-2153

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC006578
STATE LICENSE
GA
Enumeration date
08/31/2020
Last updated
08/31/2020
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