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Organization

REVIVE COUNSELING & CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN BAKER M.A., LMFT, LPC (OWNER/ THERAPIST)
(404) 590-6005
Entity
Organization

Contact information

Practice address
750 HAMMOND DR, BUILDING 4, SUITE 300, ATLANTA, GA 30328-5532
(404) 590-6005
Mailing address
750 HAMMOND DR, BUILDING 4, SUITE 300, ATLANTA, GA 30328-5532
(404) 590-6005

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC007169
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001272
GA

Other

Enumeration date
08/05/2014
Last updated
08/05/2014
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