| Innovative Therapy Of Georgia | |
|
2470 Windy Hill Rd Se Suite 300 Marietta GA 30067-8613 | |
| (866) 377-5454 | |
| Not Available |
| Full Name | Innovative Therapy Of Georgia |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2470 Windy Hill Rd Se, Marietta, Georgia |
| Authorized Official Name and Position | Shelena Davis (OWNER) |
| Authorized Official Contact | 8663775454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Therapy Of Georgia 2470 Windy Hill Rd Se Suite 300 Marietta GA 30067-8613 Ph: (866) 377-5454 | Innovative Therapy Of Georgia 2470 Windy Hill Rd Se Suite 300 Marietta GA 30067-8613 Ph: (866) 377-5454 |
| NPI Number | 1982006904 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982006904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 007825 (Georgia) | Primary |
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