| Launch Therapy Center | |
|
1212 Augusta West Pkwy Ste 1b Augusta GA 30909-1808 | |
| (706) 826-2770 | |
| (706) 826-2771 |
| Full Name | Launch Therapy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1212 Augusta West Pkwy Ste 1b, Augusta, Georgia |
| Authorized Official Name and Position | Shawn Michael Bohanan (BEHAVIOR ANALYST/ OWNER) |
| Authorized Official Contact | 7068339515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Launch Therapy Center 1212 Augusta West Pkwy Ste 1b Augusta GA 30909-1808 Ph: (706) 826-2770 | Launch Therapy Center 1212 Augusta West Pkwy Ste 1b Augusta GA 30909-1808 Ph: (706) 826-2770 |
| NPI Number | 1295143097 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 05/11/2021 |
| Certification Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295143097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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