Organization
DALLAS IVY THERAPY AND WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAWANDA OWENS LPC, CPCS (OWNER)
(404) 934-8428
Entity
Organization
Contact information
Practice address
298 NORTHWIND DR, STOCKBRIDGE, GA 30281-6216
(404) 934-8428
Mailing address
298 NORTHWIND DR, STOCKBRIDGE, GA 30281-6216
(404) 934-8428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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