Individual
DR. GARRET COREY CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV, PHD, LMFT, CST
Contact information
Practice address
1325 SATELLITE BLVD NW STE 1002, SUWANEE, GA 30024-4698
(770) 988-7686
Mailing address
1325 SATELLITE BLVD NW STE 1002, SUWANEE, GA 30024-4698
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001310
GA
Other
Enumeration date
03/28/2022
Last updated
08/10/2022
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