Organization
COUNSELING, HYPNOTHERAPY, AND LIFE COACHING SERVICES OF HIRAM
Active
Organization
COUNSELING, HYPNOTHERAPY, AND LIFE COACHING SERVICES OF HIRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE JANE MEZZA LPC (OWNER/LIC. PROF. COUNSELOR)
(678) 978-0464
Entity
Organization
Contact information
Practice address
44 DARBY'S CROSSING DRIVE, SUITE 206H, HIRAM, GA 30141-6029
(678) 978-0464
(678) 715-8796
Mailing address
44 DARBY'S CROSSING DRIVE, SUITE 206H, HIRAM, GA 30141-6029
(678) 978-0464
(678) 715-8796
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
004731
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
004731
GA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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