Organization
LIE-NIELSEN COUNSELING, INC.
Active
Organization
LIE-NIELSEN COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CHARLES LIE-NIELSEN L.P.C. (PRESIDENT)
(678) 760-2704
Entity
Organization
Contact information
Practice address
4015 S COBB DR SE, SUITE 260, SMYRNA, GA 30080-6303
(678) 760-2704
Mailing address
4015 S COBB DR SE, SUITE 260, SMYRNA, GA 30080-6303
(678) 760-2704
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC004695
GA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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