Organization
INNOVATIVE COUNSELING SOLUTIONS & PREMARITAL BLISS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYI DIXON LPC (OWNER & PSYCHOTHERAPIST)
(404) 829-4121
Entity
Organization
Contact information
Practice address
2900 PACES FERRY RD SE, ATLANTA, GA 30339-5702
(404) 829-4121
Mailing address
2900 PACES FERRY RD SE, ATLANTA, GA 30339-5702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007299
GA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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