| In Depth Therapy, Llc | |
|
485 Huntington Rd Ste 197 Athens GA 30606-1845 | |
| (706) 201-9112 | |
| Not Available |
| Full Name | In Depth Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 485 Huntington Rd Ste 197, Athens, Georgia |
| Authorized Official Name and Position | Perry Malcolm (OWNER) |
| Authorized Official Contact | 7062019112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In Depth Therapy, Llc 135 Greencrest Dr Athens GA 30605-3825 Ph: () - | In Depth Therapy, Llc 485 Huntington Rd Ste 197 Athens GA 30606-1845 Ph: (706) 201-9112 |
| NPI Number | 1972017929 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972017929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW002504 (Georgia) | Primary |
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