| Therapeutic Alliance Llc | |
|
2300 Lakeview Parkway Suite 700 Alpharetta GA 30009 | |
| (678) 699-6208 | |
| (678) 916-3810 |
| Full Name | Therapeutic Alliance Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2300 Lakeview Parkway, Alpharetta, Georgia |
| Authorized Official Name and Position | Nicole E Buddle-diaz (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 6786996208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Alliance Llc 2300 Lakeview Parkway Suite 700 Alpharetta GA 30009 Ph: (678) 699-6208 | Therapeutic Alliance Llc 2300 Lakeview Parkway Suite 700 Alpharetta GA 30009 Ph: (678) 699-6208 |
| NPI Number | 1437778354 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437778354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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