Organization
BONHOMIE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORLETHA L. NORMAN-BEY LCSW (OWNER)
(404) 402-0650
Entity
Organization
Contact information
Practice address
2375 WALL ST SE STE OFFICE34, CONYERS, GA 30013-6702
(404) 402-0650
(404) 341-9834
Mailing address
1705 HIGHWAY 138 SE UNIT 83365, CONYERS, GA 30013-0162
(404) 402-0650
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW005255
GA
Other
Enumeration date
01/06/2017
Last updated
01/15/2019
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