Organization
BLANCSTONE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA WHITE EDD LPC NCC (OWNER/PROVIDER)
(770) 415-3442
Entity
Organization
Contact information
Practice address
150 PROSPECT PL, ALPHARETTA, GA 30005-5445
(770) 415-3442
Mailing address
PO BOX 4651, ALPHARETTA, GA 30023-4651
(770) 415-3442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 005475
GA
Other
Enumeration date
02/02/2016
Last updated
06/25/2024
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