Organization
LUMEN GUIDANCE & CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE E HALE PHD (PRESIDENT)
(770) 415-5446
Entity
Organization
Contact information
Practice address
3715 NORTHSIDE PKWY, BLDG 100 - STE 500, ATLANTA, GA 30327-2886
(770) 415-5446
Mailing address
3715 NORTHSIDE PKWY, BLDG 100 - STE 500, ATLANTA, GA 30327-2886
(770) 415-5446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225780869
—
GA
Enumeration date
02/07/2022
Last updated
02/07/2022
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