Organization
SWCCOUNSELING
Active
Organization
SWCCOUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA HOLLOWAY (OWNER)
(770) 469-0124
Entity
Organization
Contact information
Practice address
814 MIMOSA BLVD, BLDG C, ROSWELL, GA 30075-4410
(678) 680-8731
Mailing address
4886 CANDLEWOOD LN, STONE MOUNTAIN, GA 30088-1606
(770) 469-0124
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
LPC008645
GA
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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