Organization
CHANGE AGENTS COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARRIA L JAMES LCSW (OWNER)
(404) 207-9359
Entity
Organization
Contact information
Practice address
5115 CHASTLETON DR, STONE MOUNTAIN, GA 30087-1443
(404) 207-9359
Mailing address
PO BOX 1048, TUCKER, GA 30085-1048
(404) 207-9359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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