Organization
ARC HOUSE OF ELAVATION INC OF THOMASVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDRIA LYNN CLARK LPC (OWNER)
(229) 403-7047
Entity
Organization
Contact information
Practice address
127 SMITH AVE STE F, THOMASVILLE, GA 31792-5593
(229) 236-1449
(229) 236-1869
Mailing address
305 HAYDEN WAY, THOMASVILLE, GA 31792-0316
(229) 403-7047
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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