Organization
LIVE LIFE NOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA FELICIA LANDIS MA,CRC (REHABILITATION COUNSELOR)
(404) 396-4979
Entity
Organization
Contact information
Practice address
192 OAKLEIGH LN, DALLAS, GA 30132-4462
(404) 396-4979
Mailing address
192 OAKLEIGH LN, DALLAS, GA 30132-4462
(404) 396-4979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00073318
GA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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