| Shades Of Therapy | |
|
300 Colonial Center Pkwy Ste 100n Roswell GA 30076-4892 | |
| (414) 232-6785 | |
| Not Available |
| Full Name | Shades Of Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 300 Colonial Center Pkwy Ste 100n, Roswell, Georgia |
| Authorized Official Name and Position | Jasmine Ferrill (OWNER) |
| Authorized Official Contact | 4142326785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shades Of Therapy 300 Colonial Center Pkwy Ste 100n Roswell GA 30076-4892 Ph: () - | Shades Of Therapy 300 Colonial Center Pkwy Ste 100n Roswell GA 30076-4892 Ph: (414) 232-6785 |
| NPI Number | 1679228365 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 02/21/2022 |
| Certification Date | 01/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679228365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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