| A New Creation Psychotherapy Services, Llc | |
|
500 Lanier Ave W Suite 908 Fayetteville GA 30214-7636 | |
| (678) 561-4468 | |
| Not Available |
| Full Name | A New Creation Psychotherapy Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 500 Lanier Ave W, Fayetteville, Georgia |
| Authorized Official Name and Position | Candice P Cooper (OWNER/THERAPIST) |
| Authorized Official Contact | 6785614468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Creation Psychotherapy Services, Llc 500 Lanier Ave W Suite 908 Fayetteville GA 30214-7636 Ph: (678) 561-4468 | A New Creation Psychotherapy Services, Llc 500 Lanier Ave W Suite 908 Fayetteville GA 30214-7636 Ph: (678) 561-4468 |
| NPI Number | 1588058945 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588058945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT001322 (Georgia) | Primary |
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