Idaluz LLC

NPI #1457199614 in Austell, Georgia

Provider Information

NPI Number: 1457199614
Entity Type: Organization
Organization Name: Idaluz LLC
Primary Specialty: Counselor
Enumeration Date: Jul 19, 2024
Last Updated: Jul 19, 2024

Practice Location

Address: 1869 S CARISBROOK PL
City: Austell
State: Georgia
ZIP Code: 30168-5147
Phone: (401) 588-0121

Authorized Official

Name: IOLANDA L DA LUZ, LPC, NCC, LPCA
Title: MENTAL HEALTH PROFESSIONAL
Phone: (401) 588-0121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Psychoanalyst	102L00000X
Marriage & Family Therapist	106H00000X
Health & Wellness Coach	171400000X
Community/Behavioral Health	251S00000X
Counselor	101Y00000X	Primary

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