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Organization

COUNSELING INNOVATIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL L. MOORE M.A., LPC (CEO/OWNER)
(678) 919-1077
Entity
Organization

Contact information

Practice address
130 VANN ST NE STE 220, COUNSELING INNOVATIONS, LLC, MARIETTA, GA 30060-7230
(678) 919-1077
(678) 317-3991
Mailing address
130 VANN ST NE STE 220, COUNSELING INNOVATIONS, LLC, MARIETTA, GA 30060-7230
(678) 919-1077
(678) 317-3991

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005351
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003138588A
GA
Enumeration date
07/25/2009
Last updated
03/14/2017
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