Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1538606306 |
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| LBN Legal business name | IMAGINE PEACE COUNSELING LLC | ||||
| Authorized official | CHRISTY BELL-WITHERS - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/31/2017 | ||||
| Last updated | 01/31/2017 - About 9 years ago | ||||
| Identifiers |
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| CHRISTY BELL WITHERS, LAPC 223 E 2ND ST SUITE B TIFTON, GA |
| LEANETTE S ROBERSON, MA LPC 1603 MALLARD LANE TIFTON, GA |
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| ABIGAIL D LEONE, LPC 246 NEW COVENANT RD. ABBEVILLE, GA |
| ISAIAS M MARTINEZ JR 2546 WOOD BEND LN 30296, GA |
| CHRISTOPHER J JACKSON, MD 720 WESTVIEW DR SW, ATLANTA, GA, 30310 720 WESTVIEW DRIVE SW, GA |
| ALEXIS N WALLACE, MD AUGUSTA UNIVERSITY MEDICAL CENTER 1120 15TH ST, GA |
| MEAGAN M DANTONE, DO 49 JESSE HILL DR SE 30303, GA |