Organization
SEVEN THIRTY ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JACKSON LCSW (CLINICAL DIRECTOR)
(404) 436-1506
Entity
Organization
Contact information
Practice address
2 MARTIN LUTHER KING JR DR SE STE 313, ATLANTA, GA 30334-9053
(404) 436-1506
Mailing address
214 STATE CAPITOL, ATLANTA, GA 30334
(404) 436-1506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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