Organization
EDITH'S COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNETTA COLLINS LPC (COUNSELOR)
(678) 571-0937
Entity
Organization
Contact information
Practice address
1226 ROYAL DR SW, SUITE 100, CONYERS, GA 30094-5925
(678) 571-0937
Mailing address
1226 ROYAL DR SW, SUITE 100, CONYERS, GA 30094-5925
(678) 571-0937
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC008575
GA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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