Organization
MANIFESTED DESTINY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ELDER LPC (OWNER)
(678) 682-0415
Entity
Organization
Contact information
Practice address
179 HANDLEY RD STE D6, TYRONE, GA 30290-2152
(404) 819-4295
Mailing address
120 LONGMEADOW CT, FAYETTEVILLE, GA 30214-5373
(404) 819-4295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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