Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOSHA ELLIS (CEO)
(404) 320-6906
Entity
Organization
Contact information
Practice address
1925 CENTURY BLVD NE, STE 8, ATLANTA, GA 30345-3315
(404) 320-6906
(404) 320-6907
Mailing address
1925 CENTURY BLVD NE, STE 8, ATLANTA, GA 30345-3315
(404) 320-6906
(404) 320-6907
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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