Organization
VICTORY CHILD & ADOLESCENT COUNSELING
Active
Other names
The Victorious Mind
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBERLY ELLIS MS, LPC, RPT (PROFESSIONAL COUNSELOR)
(678) 465-8665
Entity
Organization
Contact information
Practice address
1247 TUSCANY DR STE B1, BRASELTON, GA 30517-3561
(678) 465-8665
Mailing address
1247 TUSCANY DR STE B1, BRASELTON, GA 30517-3561
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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