Organization
TLC FAMILY LIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DISHECA SMITH LPC, NCC (CEO)
(404) 492-8883
Entity
Organization
Contact information
Practice address
145B N MAIN ST, JONESBORO, GA 30236-3568
(404) 492-8883
(404) 907-1572
Mailing address
145B N MAIN ST, JONESBORO, GA 30236-3568
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC006491
GA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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