Organization
INTEGRATIVE WELLNESS COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BAHIYYA AMH-SHERE LPC (CHIEF EXECUTIVE OFFICER)
(678) 748-0123
Entity
Organization
Contact information
Practice address
204 CHURCH ST, DECATUR, GA 30030-3328
(678) 748-0213
(404) 393-5939
Mailing address
931 MONROE DR NE, #A102-456, ATLANTA, GA 30308-1793
(678) 748-0123
(404) 393-5939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008882
GA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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