Organization
INNERVISIONS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA WILBANKS LPC (MEMBER)
(770) 851-4641
Entity
Organization
Contact information
Practice address
1275 SHILOH RD NW, SUITE 3030, KENNESAW, GA 30144-7175
(678) 956-1760
Mailing address
524 OAKSIDE PL, ACWORTH, GA 30102-8811
(770) 851-4641
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC007627
GA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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