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Organization

CIRCLE OF THERAPEUTIC ALLIANCE AND CONSULTING, LLC

Active
Other names
2THEDEGREE, Naomi Black
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAOMI BLACK DEL (CEO/MANAGING DIRECTOR)
(470) 206-1260
Entity
Organization

Contact information

Practice address
159 BURKE ST STE 250, STOCKBRIDGE, GA 30281-3430
(470) 206-1260
(678) 550-4207
Mailing address
159 BURKE ST STE 205, STOCKBRIDGE, GA 30281-3428
(470) 206-1262
(404) 738-2932

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003234513A
GA
Enumeration date
05/12/2020
Last updated
06/09/2021
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