Organization
ILERA COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGNON N PARKER LCSW (FOUNDER/CEO)
(678) 438-1235
Entity
Organization
Contact information
Practice address
3206 COUNTRY WALK DR, POWDER SPRINGS, GA 30127-3843
(678) 438-1235
Mailing address
1441 WOODMONT LN NW # 518, ATLANTA, GA 30318-2866
(678) 438-1235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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