Individual
SCARLETT ASHLEIGH PRINCE MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
105 REDMOND RD NW, ROME, GA 30165-1535
(706) 457-5439
Mailing address
PO BOX 745, TRION, GA 30753-0745
(706) 266-1140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
APC009861
GA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/23/2024
Last updated
09/01/2024
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