Organization
LIFE GATE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES RODES (ADMINISTRATIVE MANAGER)
(404) 842-3150
Entity
Organization
Contact information
Practice address
3434 ROSWELL RD NW, ATLANTA, GA 30305-1202
(404) 842-3150
Mailing address
3434 ROSWELL RD NW, ATLANTA, GA 30305-1202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC001932
GA
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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