Integrative Consulting Services
Social Worker, Clinical in Douglasville, GA. Organization (NPI-2).
NPI number1982204673
StatusActive
Last updated in NPPESOct 30, 2020
Details
- NPI
- 1982204673
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrative Consulting Services
- Organization subpart
- No
- Enumeration date
- Oct 30, 2020
- Certification date
- Oct 30, 2020
- Last updated
- Oct 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Cultivated Hearts (Doing Business As)
Practice location
7421 Douglas Blvd Ste N315Douglasville, GA 30135-1564
Phone 770-240-0022
Mailing address
7421 Douglas Blvd Ste N315Douglasville, GA 30135-1564
Phone 770-240-0022
Authorized official
Toccara Hudson
Owner
7702400022
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