Mintfour Change, LLC

NPI #1962678540 in Lithonia, Georgia

Provider Information

NPI Number: 1962678540
Entity Type: Organization
Organization Name: Mintfour Change, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: May 5, 2008
Last Updated: May 5, 2008

Practice Location

Address: 6886 MAIN ST STE 215
City: Lithonia
State: Georgia
ZIP Code: 30058-4508
Phone: (678) 526-1132

Authorized Official

Name: MRS. JOYCE DAVIS MINTER, RN, LPC
Title: MANAGING MEMBER
Phone: (678) 526-1132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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