Organization · Type 2 NPI
Fancy Messy, LLC
Mental Health Counselor · Augusta, GA
NPI number
1043056047
Active
Practice location
4812 Technology Dr Bldg 1
Augusta, GA 30907-3912
Mailing address
725 Southwick Ave
Grovetown, GA 30813-4278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1043056047
Fancy Messy, LLC's National Provider Identifier is 1043056047, issued on Jul 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2024.