Organization
IN CONTROL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMETRIA CARSON LPC (THERAPIST/OWNER)
(470) 632-0762
Entity
Organization
Contact information
Practice address
3895 MOUNTAIN VIEW RD NW, KENNESAW, GA 30152-2388
(678) 783-4075
(404) 795-2055
Mailing address
3895 MOUNTAIN VIEW RD NW, KENNESAW, GA 30152-2388
(470) 632-0762
(404) 795-2055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009735
GA
101YP2500X
Professional Counselor
LPC009735
GA
251S00000X
Community/Behavioral Health Agency
LPC009735
GA
Other
Enumeration date
02/05/2018
Last updated
02/06/2018
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