Organization
OLIVET BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN LEE COOPER LCSW (FOUNDER & CEO)
(678) 458-1759
Entity
Organization
Contact information
Practice address
8336 OFFICE PARK DR STE K, DOUGLASVILLE, GA 30134-6937
(678) 458-1759
Mailing address
3002 OLDE TABBY DR, DOUGLASVILLE, GA 30135-9223
(678) 458-1759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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