Organization · Type 2 NPI
Dallas Ivy Therapy and Wellness Services
Professional Counselor · Stockbridge, GA
NPI number
1477320885
Active
Practice location
298 Northwind Dr
Stockbridge, GA 30281-6216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1477320885
Dallas Ivy Therapy and Wellness Services's National Provider Identifier is 1477320885, issued on Dec 6, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stockbridge, GA. The record was last updated on Dec 6, 2023.