Organization
LILY PAD LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA JIMINEZ (OWNER)
(210) 861-2257
Entity
Organization
Contact information
Practice address
3950 COBB PKWY NW STE 604, ACWORTH, GA 30101-9530
(210) 861-2257
Mailing address
20 WILLOW POND CT, ACWORTH, GA 30101-8603
(210) 861-2257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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