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Organization

ANNISA PIRASTEH, LLC

Active
Other names
Act2Change Therapy & Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNISA B PIRASTEH PHD, LMFT (OWNER/DIRECTOR)
(404) 565-4616
Entity
Organization

Contact information

Practice address
2801 BUFORD HWY NE STE 510, BROOKHAVEN, GA 30329-2149
(404) 565-4616
Mailing address
2801 BUFORD HWY NE STE 510, BROOKHAVEN, GA 30329-2149
(404) 565-4616

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
06/08/2018
Last updated
02/01/2022
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