Organization
PRESTIGE THERAPEUTIC COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHLA PRESTON LCSW (OWNER)
(678) 439-5461
Entity
Organization
Contact information
Practice address
146 ORCHARD HILL DR, ELLENWOOD, GA 30294-2570
(678) 439-5461
Mailing address
146 ORCHARD HILL DR, ELLENWOOD, GA 30294-2570
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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