Organization
STONE MOUNTAIN CHRISTIAN COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERRIDY K VESCOVO LPC LMFT (VICE PRESIDENT)
(770) 498-6300
Entity
Organization
Contact information
Practice address
1000 MAIN STREET, SUITE A, STONE MOUNTAIN, GA 30083
(770) 498-6300
(770) 498-4999
Mailing address
1000 MAIN STREET, SUITE A, STONE MOUNTAIN, GA 30083
(770) 498-6300
(770) 498-4999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2378LPC
GA
101YM0800X
Mental Health Counselor
867LMFT
GA
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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