Search › Georgia › 106H00000X
Ebony Leaks
NPI 1871066449 · on the registry since 2019
Practice
- Address
- 1919 John Wesley Ave
College Park, GA 30337 - Phone
- (314) 584-9294
- Organisation at this address
- Odyssey Family Counseling Center Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia