Individual
BERNESHA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, LPC
Contact information
Practice address
6645 PEACHTREE DUNWOODY RD, ATLANTA, GA 30328-1606
(770) 455-7111
(770) 274-3460
Mailing address
2483 HERITAGE VLG STE 16-139, SNELLVILLE, GA 30078-6140
(470) 709-2792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
LPC009042
GA
Other
Enumeration date
09/08/2015
Last updated
03/12/2021
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