Organization
ANGEL EYES MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY STAR BAKER-WHITE LPC (OWNER)
(678) 809-1117
Entity
Organization
Contact information
Practice address
58 S PARK SQ NE, STE O, MARIETTA, GA 30060-8608
(678) 809-1117
Mailing address
12 POWDER SPRINGS ST STE 270, MARIETTA, GA 30064-7205
(678) 809-1117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/11/2013
Last updated
01/08/2014
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