Organization
MIND BODY SOUL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA DIANE KLEMMER (OWNER)
(610) 751-1975
Entity
Organization
Contact information
Practice address
305 PRISM DR., CARROLLTON, GA 30116-5596
(610) 751-1975
Mailing address
305 PRISM DR., CARROLLTON, GA 30116-5596
(610) 751-1975
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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