Individual
MATTIE ELIZABETH WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WESTPARK DR, PEACHTREE CITY, GA 30269-3534
(678) 203-8810
Mailing address
175 LAGRANGE ST, NEWNAN, GA 30263-2950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015823
GA
Other
Enumeration date
07/21/2023
Last updated
06/27/2025
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