Organization
MATLOCK RESOURCE CENTER, LLC
Active
Organization
MATLOCK RESOURCE CENTER, LLC
Active
Parent organization
TAMELA R MCDONALD
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAMELA R MCDONALD
Authorized official
MISS TAMELA MCDONALD LPC, NCC, CCMHC (CEO/LEAD THERAPIST)
(770) 464-5831
Entity
Organization
Contact information
Practice address
2180 SATELLITE BLVD STE 400, DULUTH, GA 30097-4927
(770) 464-5831
Mailing address
PO BOX 711, DULUTH, GA 30096-0013
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
06/11/2019
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