Organization
YOUR MINDFUL PATH COUNSELING AND YOGA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DEL CASTILLO (OWNER/COUNSELOR)
(678) 856-5079
Entity
Organization
Contact information
Practice address
4562 LAWRENCEVILLE HWY NW, SUITE 123, LILBURN, GA 30047-3641
(678) 856-5079
(770) 982-2818
Mailing address
4375 SCOTLAND CT, SNELLVILLE, GA 30039-8454
(678) 856-5079
(770) 982-2818
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC007365
GA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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