Organization
JOURNEY OF SELF DISCOVERY, LLC.
Active
Organization
JOURNEY OF SELF DISCOVERY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN MITCHELL LCSW (CEO/FAMILY THERAPIST/LIFE COACH)
(770) 882-4240
Entity
Organization
Contact information
Practice address
4319 COVINGTON HWY, SUITE 319, DECATUR, GA 30035-1210
(770) 882-4240
Mailing address
5295 SILVER CREEK DR SW, LILBURN, GA 30047-5359
(770) 882-4240
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW003554
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185548077A
—
GA
Enumeration date
09/05/2007
Last updated
02/19/2016
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