Organization
INFORMED GROUP ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS RAINES (OWNER/CEO)
(770) 298-5094
Entity
Organization
Contact information
Practice address
8307 OFFICE PARK DR, SUITE D/E, DOUGLASVILLE, GA 30134-6935
(678) 315-2929
Mailing address
8307 OFFICE PARK DR, SUITE D/E, DOUGLASVILLE, GA 30134-6935
(678) 315-2929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC002580
GA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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