Organization
IMAGINE PEACE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY BELL-WITHERS LPC (OWNER)
(912) 520-0944
Entity
Organization
Contact information
Practice address
223 E 2ND STREET, SUITE B, TIFTON, GA 31794
(229) 339-3721
Mailing address
415 E ROGER ST, ADEL, GA 31620
(912) 520-0944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009159
GA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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