Organization
ELYSIUM CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARANDA RANDOLPH LCSW (OWNER)
(770) 262-8344
Entity
Organization
Contact information
Practice address
800 MARCUS ST SE, ATLANTA, GA 30316-1230
(678) 960-9207
(404) 228-3606
Mailing address
800 MARCUS ST SE, ATLANTA, GA 30316-1230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/11/2015
Last updated
04/11/2015
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