Organization · Type 2 NPI
Living Fully Psychotherapy and Consulting, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Atlanta, GA
NPI number
1215358015
Active
Practice location
1463 Oxford Rd NE
Atlanta, GA 30322-1046
Mailing address
553 Cobblestone Trl
Avondale Estates, GA 30002-1211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | PSY003405 (GA) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1215358015
Living Fully Psychotherapy and Consulting, LLC's National Provider Identifier is 1215358015, issued on Dec 20, 2013. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Atlanta, GA. The record was last updated on Dec 20, 2013.