Organization
CLINICAL INTERVENTION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUTINA RENA MURRELL LMSW (CEO/EXECUTIVE DIRECTOR)
(404) 514-3292
Entity
Organization
Contact information
Practice address
696 MOUNT ZION RD, SUITE 9-C, JONESBORO, GA 30236-1597
(678) 422-0723
(678) 802-1970
Mailing address
6859 SLATE STONE WAY SE, SUITE 1-A, MABLETON, GA 30126-5469
(770) 745-3556
(770) 745-6903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW002771
GA
251S00000X
Community/Behavioral Health Agency
MSW002771
GA
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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