Organization
BR8K THRU SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIA MORROW LPC (CEO)
(202) 292-8491
Entity
Organization
Contact information
Practice address
5701 MABLETON PKWY SW STE 201, MABLETON, GA 30126-3364
(470) 869-2175
Mailing address
5701 MABLETON PKWY SW STE 201, MABLETON, GA 30126-3364
(470) 869-2175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/26/2023
Last updated
06/13/2024
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