Organization
AURORA COUNSELING FOR HEALING AND CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M. EELLS LCSW (OWNER/CLINICAL DIRECTOR)
(706) 224-3396
Entity
Organization
Contact information
Practice address
137 N MIDLAND AVE, MONROE, GA 30655-2327
(706) 224-3396
(678) 635-7152
Mailing address
PO BOX 546, MONROE, GA 30655-0546
(706) 224-3396
(678) 635-7152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4209
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131803A
—
GA
05
—
586625625 C
—
GA
05
—
586625625A
—
GA
Enumeration date
07/12/2013
Last updated
08/14/2013
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