Organization
HEALTHY LIFE COUNSELING
Active
Organization
HEALTHY LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DUTTON LPC (OWNER)
(678) 752-4335
Entity
Organization
Contact information
Practice address
2521 MOUNTAIN VIEW RD, SUITE 4, GAINESVILLE, GA 30504-5829
(678) 752-4335
(678) 649-2101
Mailing address
2521 MOUNTAIN VIEW RD, SUITE 4, GAINESVILLE, GA 30504-5829
(678) 752-4335
(678) 649-2101
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LPC009255
GA
261QM0850X
Adult Mental Health Clinic/Center
Primary
LPC009255
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LPC009255
GA
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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