| Therapeutic Collaborative, Llc | |
|
503 N Jackson St Albany GA 31701-2307 | |
| (229) 432-6400 | |
| (229) 432-6262 |
| Full Name | Therapeutic Collaborative, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 503 N Jackson St, Albany, Georgia |
| Authorized Official Name and Position | Lora A Davis (OWNER) |
| Authorized Official Contact | 2294326400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Collaborative, Llc 503 N Jackson St Albany GA 31701-2307 Ph: (229) 432-6400 | Therapeutic Collaborative, Llc 503 N Jackson St Albany GA 31701-2307 Ph: (229) 432-6400 |
| NPI Number | 1598808438 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598808438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003455 (Georgia) | Primary |
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