Organization
DIVERSIFIED COUNSELING & COUNSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUVENIA ALFORD-LAWSON (CEO)
(973) 851-5704
Entity
Organization
Contact information
Practice address
490 S STONE MTN LITHONIA RD, 88, STONE MOUNTAIN, GA 30088-1532
(404) 662-2466
Mailing address
PO BOX 614, PINE LAKE, GA 30072-0614
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
APC003533
GA
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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