Organization
PRESTIGIOUS THERAPY CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYAH NAKEYA JOHNSON (CHIEF EXECUTIVE OFFICER)
(678) 544-9292
Entity
Organization
Contact information
Practice address
1872 SIMMONS LN, HAMPTON, GA 30228-5348
(678) 544-9292
Mailing address
1872 SIMMONS LN, HAMPTON, GA 30228-5348
(678) 544-9292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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