Individual
CARMEN HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 GOLDEN EAGLE LN, LAWRENCEVILLE, GA 30044-5878
(470) 854-3556
Mailing address
2330 GOLDEN EAGLE LN, LAWRENCEVILLE, GA 30044-5878
(470) 854-3556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
GA
106S00000X
Behavior Technician
Primary
RBT-24-324503
GA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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