Organization
INSIDE OUT RELATIONSHIP MAKEOVER SERVICES, LLC
Active
Organization
INSIDE OUT RELATIONSHIP MAKEOVER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONNA NICOLE PETERSON LPC (OWNER/THERAPIST/CEO)
(630) 272-1897
Entity
Organization
Contact information
Practice address
1954 AIRPORT RD # 1643, ATLANTA, GA 30341-4956
(630) 272-1897
Mailing address
1954 AIRPORT RD # 1643, ATLANTA, GA 30341-4956
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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