Organization
PROACTIVE LIFE & HEALTH SERVICES
Active
Other names
Shundra Burnes
Organization subpart
No
Provider details
NPI number
Authorized official
SHUNDRA BURNES LCSW (OWNER/ORGANIZER)
(404) 416-3547
Entity
Organization
Contact information
Practice address
925 MAIN ST STE 300-50, STONE MOUNTAIN, GA 30083-3098
(404) 416-3547
(470) 867-6898
Mailing address
925 MAIN ST STE 300-50, STONE MOUNTAIN, GA 30083-3098
(404) 416-3547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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