Organization
COUNSELING 360, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURLISHA CREIGHTON-MUWAKKIL LCSW (CLINICAL DIRECTOR)
(678) 632-4004
Entity
Organization
Contact information
Practice address
3244 SHAMROCK CT, DECATUR, GA 30032-7132
(810) 869-6294
Mailing address
3244 SHAMROCK CT, DECATUR, GA 30032-7132
(810) 869-6294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/23/2023
Last updated
07/08/2024
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