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NPI Code Detail

MEDICARE: JOIE DE VIVRE COUNSELING AND THERAPY

MEDICARE: JOIE DE VIVRE COUNSELING AND THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC007547GA

General Provider Information

NPI Number : 1912409392
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOIE DE VIVRE COUNSELING AND THERAPY
Provider Business Mailing Address
First Line : 1201 W PEACHTREE ST NW STE 2300
Second Line :
City : ATLANTA
State : GA
Zip : 30309-3453
Country : US
Telephone Number : 770-325-2443
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W PEACHTREE ST NW STE 2300
Second Line :
City : ATLANTA
State : GA
Zip : 30309-3453
Country : US
Telephone Number : 770-325-2443
Fax Number : 770-325-8858
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : MONICA MANUEL
Credential : MS, LPC
Telephone Number : 770-325-2443
Provider Enumeration Date : 03/01/2018
Last Update Date : 06/17/2021

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Directions to “JOIE DE VIVRE COUNSELING AND THERAPY ” Practice Location

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