Organization
COUNSELING & PRAYER USA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AGNES SULLIVAN MSC., MSW, LMSW (CLINICAL DIRECTOR)
(678) 429-9872
Entity
Organization
Contact information
Practice address
1297 CHAUCER LN NE, ATLANTA, GA 30319-1507
(678) 429-9872
Mailing address
2348 WELTON PL, ATLANTA, GA 30338-5345
(678) 983-4720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW004061
GA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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