Michelle Alden
Community/Behavioral Health in Loganville, GA. Organization (NPI-2).
NPI number1760871537
StatusActive
Last updated in NPPESJan 17, 2015
Details
- NPI
- 1760871537
- Entity type
- Organization (NPI-2)
- Legal business name
- Michelle Alden
- Organization subpart
- No
- Enumeration date
- Jan 17, 2015
- Last updated
- Jan 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | LPC008177 | GA | Yes |
Practice location
1410 Compton Woods DrLoganville, GA 30052-2494
Phone 850-510-8627
Mailing address
1410 Compton Woods DrLoganville, GA 30052-2494
Phone 850-510-8627
Authorized official
Michelle Alden
Mental Health Clinician
8505108627
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