Marquis Tanisha Hebert
Counselor in Mableton, GA. Individual provider (NPI-1).
NPI number1245079433
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1245079433
- Entity type
- Individual (NPI-1)
- Name
- Marquis Tanisha Hebert
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2024
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 23136 | GA | Yes |
Other names
- Pleasure Coach Diamond (Professional Name)
Practice location
1400 Veterans Memorial Hwy Se Ste 134-156Mableton, GA 30126-2945
Phone 770-569-3639
Mailing address
1400 Veterans Memorial Hwy Se Ste 134-156Mableton, GA 30126-2945
Phone 770-569-3639
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All 6 Counselor providers in Mableton · All 422 providers in Mableton
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