Individual
ECCLESIA SAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
829 FAIRWAYS CT STE 210, STOCKBRIDGE, GA 30281-7219
(678) 242-9520
Mailing address
829 FAIRWAYS CT STE 210, STOCKBRIDGE, GA 30281-7219
(678) 242-9520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC010467
GA
101YM0800X
Mental Health Counselor
LPC010467
GA
103TC1900X
Counseling Psychologist
Primary
PSY004887
GA
Other
Enumeration date
01/08/2019
Last updated
04/15/2026
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