Victory Child & Adolescent Counseling

NPI #1922749837 in Braselton, Georgia

Provider Information

NPI Number: 1922749837
Entity Type: Organization
Organization Name: Victory Child & Adolescent Counseling
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 5, 2022
Last Updated: Apr 5, 2022

Practice Location

Address: 1247 TUSCANY DR STE B1
City: Braselton
State: Georgia
ZIP Code: 30517-3561
Phone: (678) 465-8665

Authorized Official

Name: MS. AMBERLY ELLIS, MS, LPC, RPT
Title: PROFESSIONAL COUNSELOR
Phone: (678) 465-8665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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