| The Launch Pad Atl | |
|
1417 Dutch Valley Pl Ne Atlanta GA 30324-5399 | |
| (404) 939-7712 | |
| Not Available |
| Full Name | The Launch Pad Atl |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1417 Dutch Valley Pl Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Matthias Reynolds (OWNER) |
| Authorized Official Contact | 4049397712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Launch Pad Atl 1417 Dutch Valley Pl Ne Atlanta GA 30324-5399 Ph: (404) 939-7712 | The Launch Pad Atl 1417 Dutch Valley Pl Ne Atlanta GA 30324-5399 Ph: (404) 939-7712 |
| NPI Number | 1003485392 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/24/2021 |
| Certification Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003485392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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