Organization
LATASHA MATTHEWS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA MATTHEWS LAPC (LICENSED THERAPIST)
(404) 914-2521
Entity
Organization
Contact information
Practice address
392 CLEARSPRINGS DRIVE, LAWRENCEVILLE, GA 30046
(404) 914-2521
Mailing address
392 CLEARSPRINGS DRIVE, LAWRENCEVILLE, GA 30046
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
APC002122
GA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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