Organization
CREATING CONSCIOUS CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MATHIS LCSW (OWNER)
(770) 956-1056
Entity
Organization
Contact information
Practice address
1827 POWERS FERRY ROAD, BUILDING 21 - SUITE 350, ATLANTA, GA 30339
(770) 956-1056
Mailing address
3315 SOUTH COBB DRIVE, SUITE 700 #813386, SMYRNA, GA 30080
(770) 956-1056
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
12/04/2020
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