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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