Individual
MS. IMANI SADE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5204 WESTCHESTER LN NE, ATLANTA, GA 30345-2549
(757) 713-2480
Mailing address
5204 WESTCHESTER LN NE, ATLANTA, GA 30345-2549
(757) 713-2480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0114779
GA
Other
Enumeration date
04/07/2020
Last updated
02/12/2024
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