Organization
ROOTED IN PEARLS LLC
Active
Organization
ROOTED IN PEARLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORCHE LASHOADE CORLEY LCSW (CLINICAL SOCIAL WORKER)
(912) 424-1659
Entity
Organization
Contact information
Practice address
256 N MACON ST STE 2, JESUP, GA 31545-5546
(912) 424-1659
(912) 200-8511
Mailing address
256 N MACON ST STE 2, JESUP, GA 31545-5546
(912) 424-1659
(912) 200-8511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/15/2026
Last updated
08/15/2026
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