Individual
DANA BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 ENTERPRISE PATH STE 208, HIRAM, GA 30141-2654
(770) 573-9546
(855) 905-4877
Mailing address
4200 ARROWHEAD POINTE, AUSTELL, GA 30106-1074
(678) 468-3328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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