Organization
CARLA, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ANN MARRA LPC (CEO)
(678) 357-6928
Entity
Organization
Contact information
Practice address
70 MANSELL CT, SUITE 100, ROSWELL, GA 30076-1523
(678) 357-6928
Mailing address
1049 WILEY BRIDGE RD, WOODSTOCK, GA 30188-4604
(678) 357-6928
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LPC000869
GA
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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