Organization
THE UPPER ROOM POWER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY MCCLENDON (OWNER)
(404) 749-0460
Entity
Organization
Contact information
Practice address
1115 MORROW RD, MORROW, GA 30260-1066
(404) 749-0460
Mailing address
1115 MORROW RD, MORROW, GA 30260-1066
(404) 749-9460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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