Organization
A NEW LEVEL EMPOWERMENT AND CONSULTATION
Active
Organization
A NEW LEVEL EMPOWERMENT AND CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANISHA SAPP LPC (CEO/OWNER)
(770) 809-3709
Entity
Organization
Contact information
Practice address
1700 PENNSYLVANIA AVE, SUITE 207, MCDONOUGH, GA 30253-9115
(770) 809-3709
Mailing address
289 JONESBORO RD, STE 203, MCDONOUGH, GA 30253-3725
(770) 809-3709
(404) 481-2714
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC007896
GA
Other
Enumeration date
05/09/2014
Last updated
04/27/2017
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