Organization
BAOBAB COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH TCHOUTA LCSW (DIRECTOR)
(678) 834-9242
Entity
Organization
Contact information
Practice address
800 OLD ROSWELL LAKES PKWY STE S, ROSWELL, GA 30076-1675
(678) 834-9242
Mailing address
800 OLD ROSWELL LAKES PKWY STE 200, ROSWELL, GA 30076-1667
(678) 834-9242
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275093437
NPI
GA
Enumeration date
03/22/2021
Last updated
03/22/2021
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