Organization
MINDFUL JOURNEYS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MICHAEL SOBEL LCSW (OWNER/PSYCHOTHERAPIST)
(404) 369-3985
Entity
Organization
Contact information
Practice address
3949 HOLCOMB BRIDGE RD STE 200, PEACHTREE CORNERS, GA 30092-2208
(404) 369-3985
Mailing address
3445 HIGHCROFT CIR, PEACHTREE CORNERS, GA 30092-4964
(678) 923-4680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053950097
PERSONAL NPI
—
Enumeration date
11/20/2021
Last updated
01/11/2022
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