| Therapy Pond, Llc | |
|
1262 Concord Rd Se Ste 200 Smyrna GA 30080-5307 | |
| (678) 653-3366 | |
| Not Available |
| Full Name | Therapy Pond, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1262 Concord Rd Se Ste 200, Smyrna, Georgia |
| Authorized Official Name and Position | Angie Ul Hamilton (MEMBER/OWNER) |
| Authorized Official Contact | 5617588268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Pond, Llc 5101 Waterford Dr Sw Mableton GA 30126-1742 Ph: (561) 758-8268 | Therapy Pond, Llc 1262 Concord Rd Se Ste 200 Smyrna GA 30080-5307 Ph: (678) 653-3366 |
| NPI Number | 1619576865 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 10/20/2020 |
| Certification Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619576865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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