Organization
GRN CSB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALESHA ROBINSON (MENTAL HEALTH COUNSELOR)
(770) 918-6677
Entity
Organization
Contact information
Practice address
977A TAYLOR ST SW, CONYERS, GA 30012-5357
(770) 918-6677
(770) 918-6686
Mailing address
977A TAYLOR ST SW, CONYERS, GA 30012-5357
(770) 918-6677
(770) 918-6686
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CSW003703
GA
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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