Organization
A NEW DIRECTION COUNSELING AND SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAQUANDRA C MUOMAH (LLC MEMBER)
(404) 421-9409
Entity
Organization
Contact information
Practice address
3675 CRESTWOOD PKWY NW, 4TH FLOOR, SUITE# 401, DULUTH, GA 30096-1805
(404) 421-9409
Mailing address
3675 CRESTWOOD PKWY NW, 4TH FLOOR, SUITE# 401, DULUTH, GA 30096-1805
(404) 421-9409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0556692
GA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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