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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDALUZ LLC

Active Organization

IDALUZ LLC is a Counselor organization located in AUSTELL, Georgia. NPI 1457199614 is currently active in the NPPES registry. Verify at CMS.

Counselor · AUSTELL, GA

Registration Details

NPI Number
1457199614
Provider Type
Organization
NPI Issued
Jul 19, 2024 (2.0536758474349 yrs)
Last Updated
Jul 19, 2024

Practice Information

Address
1869 S CARISBROOK PL
AUSTELL, GA, 301685147
Browse GA providers · Browse ZIP 30168
Phone
4015880121
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Psychoanalyst
Additional Specialty
Marriage & Family Therapist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.