Organization
INTEGRATIVE CONSULTING SERVICES
Active
Other names
Cultivated Hearts
Organization subpart
No
Provider details
NPI number
Authorized official
TOCCARA HUDSON LCSW (OWNER)
(770) 240-0022
Entity
Organization
Contact information
Practice address
7421 DOUGLAS BLVD STE N315, DOUGLASVILLE, GA 30135-1564
(770) 240-0022
Mailing address
7421 DOUGLAS BLVD STE N315, DOUGLASVILLE, GA 30135-1564
(770) 240-0022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW007240
GA BOARD OF PROF COUNSELORS, SOCIAL WORKERS , MARRIAGE & FAMILY THERAPISTS
GA
Enumeration date
10/30/2020
Last updated
10/30/2020
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