Organization · Type 2 NPI
Ethel's Place, Inc.
Mental Health Counselor · Dallas, GA
NPI number
1225253354
Active
Practice location
302 W I Pkwy
Dallas, GA 30132-5061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1225253354
Ethel's Place, Inc.'s National Provider Identifier is 1225253354, issued on Apr 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, GA. The record was last updated on Aug 22, 2020.