Organization
SECOND CHANCE OR MORE COUNSELING SERVICES
Active
Organization
SECOND CHANCE OR MORE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA A. WHITE PHD, LPC,LMHC,MFT (DIRECTOR/OWNER)
(407) 462-5483
Entity
Organization
Contact information
Practice address
110 EVANS MILL DR, SUITE 401, DALLAS, GA 30157-1622
(407) 462-5483
Mailing address
PO BOX 1018, HIRAM, GA 30141-1018
(407) 462-5483
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC007084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00313130
—
GA
Enumeration date
01/05/2017
Last updated
01/05/2017
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