Organization
FAMILIES ADVOCACY FOR VOICES OF RESILIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN COATES (CEO/OWNER)
(404) 587-8286
Entity
Organization
Contact information
Practice address
798 RAYS RD, SUITE 9496, STONE MOUNTAIN, GA 30083-3144
(404) 499-0078
Mailing address
798 RAYS RD, SUITE 9496, STONE MOUNTAIN, GA 30083-3144
(404) 499-0078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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