Organization
CARE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Active
Other names
Crown Counseling & Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYDIA J CANTY EDS, LPC (DIRECTOR)
(404) 734-0954
Entity
Organization
Contact information
Practice address
4319 COVINGTON HWY, SUITE 214, DECATUR, GA 30035-1210
(404) 284-1191
(404) 284-1807
Mailing address
4319 COVINGTON HWY, SUITE 214, DECATUR, GA 30035-1210
(404) 284-1191
(404) 284-1807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC002129
GA
101YP2500X
Professional Counselor
Primary
LPC004261
GA
103TC1900X
Counseling Psychologist
PSY003237
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316802580
—
GA
Enumeration date
04/26/2009
Last updated
04/26/2009
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