Care Therapeutic Services, Llc | |
5041 Dallas Hwy Suite 402 Powder Springs GA 30127-6458 | |
(678) 354-5594 | |
(678) 288-7945 |
Full Name | Care Therapeutic Services, Llc |
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Speciality | Marriage & Family Therapist |
Location | 5041 Dallas Hwy, Powder Springs, Georgia |
Authorized Official Name and Position | Elizabeth C Waite (CO-OWNER / THERAPIST) |
Authorized Official Contact | 4045799381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Care Therapeutic Services, Llc 5041 Dallas Hwy Suite 402 Powder Springs GA 30127-6458 Ph: (678) 354-5594 | Care Therapeutic Services, Llc 5041 Dallas Hwy Suite 402 Powder Springs GA 30127-6458 Ph: (678) 354-5594 |
NPI Number | 1447559885 |
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Provider Enumeration Date | 03/24/2011 |
Last Update Date | 03/24/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447559885 | NPI | - | NPPES |
12214821 | Other | GA | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC006056 (Georgia) | Secondary |
106H00000X | Marriage & Family Therapist | MFT001175 (Georgia) | Primary |
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