Organization
THE LIGHTED ROAD COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMONNE DUPRE M.D. (CEO)
(678) 232-8938
Entity
Organization
Contact information
Practice address
7444 HANNOVER PKWY S, SUITE 200, STOCKBRIDGE, GA 30281-9303
(678) 232-8938
Mailing address
7444 HANNOVER PKWY S, SUITE 200, STOCKBRIDGE, GA 30281-9303
(678) 232-8938
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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