Organization
DECATUR MINDFULNESS AND PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECA ANNE MDIV, MSW, LCSW (OWNER)
(678) 827-3456
Entity
Organization
Contact information
Practice address
321 W HILL ST, SUITE 2C, DECATUR, GA 30030-4362
(678) 827-3456
(678) 669-2051
Mailing address
321 W HILL ST, SUITE 2C, DECATUR, GA 30030-4362
(678) 827-3456
(678) 669-2051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
12/15/2016
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