| Expressive Therapy Institute Llc | |
|
6015 Atlantic Blvd Ste A Norcross GA 30071-1343 | |
| (770) 361-4607 | |
| Not Available |
| Full Name | Expressive Therapy Institute Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6015 Atlantic Blvd Ste A, Norcross, Georgia |
| Authorized Official Name and Position | Annai Lopez Tavira Cruz (CHILD & FAMILY THERAPIST) |
| Authorized Official Contact | 7703614607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expressive Therapy Institute Llc 824 Whitehaven Ln Lawrenceville GA 30043-6666 Ph: (770) 361-4607 | Expressive Therapy Institute Llc 6015 Atlantic Blvd Ste A Norcross GA 30071-1343 Ph: (770) 361-4607 |
| NPI Number | 1134638992 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 04/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134638992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MFT001573 (Georgia) | Primary |
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