Organization
LATISHA MCWILLIAMS
Active
Organization
LATISHA MCWILLIAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA MCWILLIAMS MA, MAED, LPC (LICENSED PROFESSIONAL COUNSELOR)
(205) 213-5927
Entity
Organization
Contact information
Practice address
4346 CRESTRIDGE LN, STONE MOUNTAIN, GA 30083-6104
(205) 213-5927
Mailing address
4346 CRESTRIDGE LN, STONE MOUNTAIN, GA 30083-6104
(205) 213-5927
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC006463
GA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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