Organization
TO THE ROOT COUNSELING & COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA DAWSON LPC (OWNER)
(678) 964-1325
Entity
Organization
Contact information
Practice address
1775 PARKER RD SE BLDG C, CONYERS, GA 30094-6654
(678) 964-1325
Mailing address
2580 FIELDSTONE DR SE, CONYERS, GA 30013-1900
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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