Organization
ICAN THINK POSITIVE COUNSELING AND COACHING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINITA SIMMONDS LPC (OWNER/CEO)
(770) 256-0099
Entity
Organization
Contact information
Practice address
5405 MEMORIAL DR BLDG C, STONE MOUNTAIN, GA 30083-3234
(678) 999-2611
Mailing address
PO BOX 165, REDAN, GA 30074-0165
(678) 999-2611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
07/21/2022
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