Organization
ARISE AND LIVE CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL PUGH PASTOR (OWNER)
(678) 812-9248
Entity
Organization
Contact information
Practice address
500 LANIER AVE W, FAYETTEVILLE, GA 30214-7636
(770) 728-8333
Mailing address
500 LANIER AVE W, FAYETTEVILLE, GA 30214-7636
(770) 728-8333
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
08/13/2021
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