Organization
ATL SPORT
Active
Parent organization
FIT MIND, FIT BODY, FIT SOUL
Other names
F3
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIT MIND, FIT BODY, FIT SOUL
Authorized official
MRS. KIMBERLY D ALEXANDER LPC, MBA, MAMFT, NCC (LICENSE PROFESSIONAL COUSELER)
(404) 625-6262
Entity
Organization
Contact information
Practice address
5376 JONESBORO RD, LAKE CITY, GA 30260
(404) 748-1102
Mailing address
5376 JONESBORO RD, LAKE CITY, GA 30260-3557
(404) 748-1102
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396092912
NPPES
—
Enumeration date
06/20/2018
Last updated
06/20/2018
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