Organization
ECCENTRIC THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHEREE NICOLE HALL LPC, NCC (CEO)
(404) 449-3696
Entity
Organization
Contact information
Practice address
4350 PLEASANT POINT DR, APT. A, DECATUR, GA 30034-7003
(404) 449-3696
Mailing address
PO BOX 733, DECATUR, GA 30031-0733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008117
GA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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