Organization
CONNECT 4 BEHAVIORAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMONICA D GREEN LPC (PRESIDENT)
(678) 899-5871
Entity
Organization
Contact information
Practice address
1800 LAKE PARK DR SE STE 102, SMYRNA, GA 30080-7639
(678) 899-5871
Mailing address
200 RIVER VISTA DR UNIT 341, ATLANTA, GA 30339-7612
(678) 899-5871
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009818
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003204162A
—
GA
Enumeration date
08/10/2018
Last updated
08/10/2018
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