Organization
NEW LIFE COUNSELING, LLC
Active
Other names
Monarch Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER VISLOCKY (OFFICE MANAGER)
(404) 426-3453
Entity
Organization
Contact information
Practice address
1301 SHILOH RD NW STE 450, KENNESAW, GA 30144-7152
(404) 426-3453
Mailing address
1301 SHILOH RD NW STE 450, KENNESAW, GA 30144-7152
(404) 426-3453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004424
GA
Other
Enumeration date
07/10/2018
Last updated
12/27/2018
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