Organization
BE FANTASTIC LLC
Active
Organization
BE FANTASTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE PETERS LCSW (LICENSED CLINICAL SOCIAL WORKER)
(404) 630-5859
Entity
Organization
Contact information
Practice address
2302 PARKLAKE DR NE STE 511, ATLANTA, GA 30345-2974
(404) 630-5859
Mailing address
PO BOX 1451, DOUGLASVILLE, GA 30133-1451
(404) 630-5859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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