Organization · NPI-2
Br8k Thru Support Services
Counselor, Mental Health · Mableton, GA
NPI number1821704495
StatusActive
Last updated in NPPESJun 13, 2024
Details
- NPI
- 1821704495
- Entity type
- Organization (NPI-2)
- Legal business name
- Br8k Thru Support Services
- Organization subpart
- No
- Enumeration date
- Jan 26, 2023
- Certification date
- May 7, 2024
- Last updated
- Jun 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
5701 Mableton Pkwy Sw Ste 201Mableton, GA 30126-3364
Phone 470-869-2175
Mailing address
5701 Mableton Pkwy Sw Ste 201Mableton, GA 30126-3364
Phone 470-869-2175
Authorized official
Jamia Morrow
Ceo
2022928491
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