Organization
CENTERSIDE COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY WISEMAN (CEO)
(678) 365-3695
Entity
Organization
Contact information
Practice address
1755 N BROWN RD STE 200, LAWRENCEVILLE, GA 30043-2018
(678) 365-3695
Mailing address
1755 N BROWN RD STE 200, LAWRENCEVILLE, GA 30043-2018
(678) 365-3695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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