Organization
NIA COUNSELING AND EMOTIONAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KHRYSTAL RENEE DAVIS LPC, CPCS (OWNER/COUNSELOR)
(404) 510-5768
Entity
Organization
Contact information
Practice address
7317 CARDIGAN CIR, ATLANTA, GA 30328-1951
(404) 510-5768
Mailing address
1445 WOODMONT LN NW # 2738, ATLANTA, GA 30318-2866
(678) 383-0382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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