Organization
SOUTHEAST ARTS ASSOCIATION
Active
Other names
Creative Expressions Counseling and Training
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE LUCAS (PROGRAM MANAGER)
(251) 554-1092
Entity
Organization
Contact information
Practice address
477 VILLAGE SQUARE CT, STONE MOUNTAIN, GA 30083-4274
(251) 554-1092
(404) 465-3650
Mailing address
477 VILLAGE SQUARE CT, STONE MOUNTAIN, GA 30083-4274
(251) 554-1092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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