| Move Mountains Therapy Llc | |
|
718 Basswood Ave Madonna GA 30252 | |
| (901) 596-5919 | |
| Not Available |
| Full Name | Move Mountains Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 718 Basswood Ave, Madonna, Georgia |
| Authorized Official Name and Position | Chasity Torry Bowers (DIRECTOR) |
| Authorized Official Contact | 9015965919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Move Mountains Therapy Llc 3863 Highway 138 Se Unit 62 Stockbridge GA 30281-4143 Ph: (901) 596-5919 | Move Mountains Therapy Llc 718 Basswood Ave Madonna GA 30252 Ph: (901) 596-5919 |
| NPI Number | 1710713714 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710713714 | NPI | - | NPPES |
| 1679253868 | Other | GA | MENTAL HEALTH THERAPY COUNSELING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |