Organization
CULTIVATING R.O.O.T.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY C POPE PHD, LPC (LICENSED PROFESSIONAL COUNSELOR)
(706) 231-2008
Entity
Organization
Contact information
Practice address
6303 FOGGY OAK DR, FAIRBURN, GA 30213-4686
(706) 231-2008
(800) 419-9018
Mailing address
6303 FOGGY OAK DR, FAIRBURN, GA 30213-4686
(404) 444-5143
(800) 419-9018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
12/30/2024
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