Most Relevant Information
Provider Data
| NPI Number: | 1003256744 |
| Provider Name: | TAKIEDRA WHITE LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC009512 |
Most Important Dates
| Enumeration Date: | 06/26/2013 |
| Last Updated: | 10/05/2023 |
Provider Practice Location
1055 HOWELL MILL RD NW STE 800
ATLANTA
GA
303185557
Practice Location Phone/Fax
| Phone: | 4046926913 |
| Fax: |
Provider Mailing Location
1055 HOWELL MILL RD NW STE 800
ATLANTA
GA
303185557
Provider Mailing Phone/Fax
| Phone: | 4046926913 |
| Fax: |