Organization
INSPIRED VISION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANDA MARIE MOBLEY-TAYLOR LPC (OWNER/LICENSED PRACTITIONER)
(912) 667-8806
Entity
Organization
Contact information
Practice address
135 GOSHEN ROAD EXT STE 112, RINCON, GA 31326-5568
(912) 295-3365
(912) 205-3926
Mailing address
100 AUTUMN DR, RINCON, GA 31326-5675
(912) 667-8806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
12/19/2023
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