Organization
DIAMOND COUNSELING AND COACHING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSELANDE DOMOND LPC (LICENSE PROFESSIONAL COUNSELOR)
(678) 886-9112
Entity
Organization
Contact information
Practice address
135 BRADFORD SQ STE B, FAYETTEVILLE, GA 30215-1902
(678) 886-9112
(404) 900-9088
Mailing address
11658 KADES TRL, HAMPTON, GA 30228-4012
(678) 886-9112
(404) 900-9088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169295B
—
GA
05
—
003229763A
—
GA
Enumeration date
02/12/2020
Last updated
06/29/2020
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