Destined to Reign Counseling Services, L.l.c.

NPI #1689001117 in Morrow, Georgia

Provider Information

NPI Number
1689001117
Entity Type
Organization
Organization Name
Destined to Reign Counseling Services, L.l.c.
Primary Specialty
Counselor - Professional
Enumeration Date
Sep 30, 2013
Last Updated
Sep 30, 2013

Practice Location

Address
2224 LAKE HARBIN RD
City
Morrow
State
Georgia
ZIP Code
30260-1907
Phone
(404) 441-7918

Authorized Official

Name
DAMIEN KELLAM, M.A.,LPC, PHD,ABD
Title
PRESIDENT/LICENSED PSYCHOTHERAPIST
Phone
(770) 875-6760

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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