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4growth Counseling And Wellness

Counselor, Mental Health in Roswell, GA. Organization (NPI-2).

NPI number1174267389
StatusActive
Last updated in NPPESMay 4, 2022

Details

NPI
1174267389
Entity type
Organization (NPI-2)
Legal business name
4growth Counseling And Wellness
Organization subpart
No
Enumeration date
Apr 24, 2022
Certification date
May 4, 2022
Last updated
May 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

160 W Crossville Rd
Roswell, GA 30075-2947

Phone 678-787-9543

Mailing address

4230 Harris Ridge Ct
Roswell, GA 30076-4610

Phone 678-787-9543

Other practice locations

490 Arnold Mill Rd
Woodstock, GA 30188-2848

Phone 678-787-9543

675 Riverside Rd
Roswell, GA 30075-5009

Phone 678-787-9543

Authorized official

Dunia Giselle Lobo
Manager
6787879543

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