Organization
MATERNALLY MINDFUL COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WEIST LCSW (DIRECTOR/THERAPIST)
(678) 310-9216
Entity
Organization
Contact information
Practice address
225 REFORMATION PKWY STE 200, CANTON, GA 30114-2915
(678) 310-9216
Mailing address
225 REFORMATION PKWY STE 200, CANTON, GA 30114-2915
(678) 310-9216
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
09/04/2022
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