Organization
ECCTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIYUME MCKINLEY LCSW (OWNER)
(424) 376-8705
Entity
Organization
Contact information
Practice address
245 AMAL DR SW APT 2018, ATLANTA, GA 30315-4878
(470) 232-0404
Mailing address
302 W 5TH ST STE 308, SAN PEDRO, CA 90731-2750
(470) 232-0404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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