Organization
PERFECTLY IMPERFECT PARENTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE LOPEZ (OWNER)
(305) 401-4882
Entity
Organization
Contact information
Practice address
675 MANSELL RD STE 115, ROSWELL, GA 30076-4877
(770) 280-5792
Mailing address
675 MANSELL RD STE 115, ROSWELL, GA 30076-4877
(770) 280-5792
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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