Organization
GRACE ANTHONY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHA'KE'SHA SPENCER LPC (PSYCHOTHERAPIST)
(404) 604-1962
Entity
Organization
Contact information
Practice address
3915 CASCADE RD SW, STE 240, ATLANTA, GA 30331-8512
(404) 604-1964
Mailing address
6000 STEWART PKWY, P.O. BOX 5165, DOUGLASVILLE, GA 30154-1128
(404) 604-1962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC004886
GA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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