Individual
LATOYA SHANISE BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
715 PEACHTREE ST NE STE AND200, ATLANTA, GA 30308-2177
(646) 453-6777
(212) 337-9841
Mailing address
132 GRANT DR, CANTON, GA 30114-2247
(478) 952-1336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013260
GA
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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