| Double Therapy, Llc | |
|
103 Gray Fox Xing Bonaire GA 31005-3398 | |
| (478) 955-2699 | |
| Not Available |
| Full Name | Double Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 103 Gray Fox Xing, Bonaire, Georgia |
| Authorized Official Name and Position | Kimberly Michelle Grace (OWNER/LICENSED COUNSELOR) |
| Authorized Official Contact | 4789552699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Double Therapy, Llc 103 Gray Fox Xing Bonaire GA 31005-3398 Ph: (478) 955-2699 | Double Therapy, Llc 103 Gray Fox Xing Bonaire GA 31005-3398 Ph: (478) 955-2699 |
| NPI Number | 1700580784 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700580784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Southern Bridge Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Moody Rd, Ste. A, Bonaire, GA 31005 Phone: 478-449-1475 Fax: 888-813-6815 |