Organization
HEALTHCARE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAUNTE DVINE BILLER (PRACTICE DIRECTOR)
(470) 485-4337
Entity
Organization
Contact information
Practice address
141 BRIDGEMILL DR, HAMPTON, GA 30228-5536
(470) 485-8337
Mailing address
922 HIGHWAY 81 E STE 348, MCDONOUGH, GA 30252-2978
(470) 485-4337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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