Organization
AFFIRMATIVE TRANSFORMATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YOLANDA KING LPC (CEO)
(478) 227-6144
Entity
Organization
Contact information
Practice address
507 AMBERLEY CT, KATHLEEN, GA 31047-2845
(478) 227-6144
(866) 554-5153
Mailing address
507 AMBERLEY CT, KATHLEEN, GA 31047-2845
(478) 225-3444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC007036
GA
101YP2500X
Professional Counselor
Primary
LPC007036
GA
101YS0200X
School Counselor
1393590
GA
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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