institution
Integrating Body, Mind And Life, Llc
Professional Counselor in Conyers, Georgia
NPI 1750559217

Integrating Body, Mind And Life, Llc is a Professional Counselor based in Decatur, GA and is specialized in Professional. Integrating Body, Mind And Life, Llc practices in Conyers, GA. The NPI Number for Integrating Body, Mind And Life, Llc is 1750559217 and holds a License No. LPC004290 (Georgia).

The current practice location address for Integrating Body, Mind And Life, Llc is 2365 Wall St Se, Conyers, GA and can be reached out via phone at 866-298-3447 and via fax at 866-261-5260.

Location: 2365 Wall St Se, Conyers, GA, 30030-2538
institution
Provider Profile Details
NPI Number
1750559217
Provider Name
Integrating Body, Mind And Life, Llc
Credential
Provider Entity Type
Organization
Address
2365 Wall St Se, Conyers, GA, 30030-2538
Phone Number
866-298-3447
Fax Number
866-261-5260
Provider Enumeration Date
02/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11824149 01 GA CAQH
476557646A 05 GA
institution
Provider Business Practice Location Address Details
Address
2365 Wall St Se
City
State
Zip
30013-2197
Phone Number
866-298-3447
Fax Number
866-261-5260
person
Provider Business Mailing Address Details
Address
2365 Wall St Se
City
State
Zip
30013-2197
Phone Number
866-298-3447
Fax Number
866-261-5260
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC004290 (Georgia)
Definition
Definition to come...
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