| Valiant Therapy Llc | |
|
4255 Cedar Bluff Way Sw Lilburn GA 30047-3185 | |
| (470) 981-6333 | |
| Not Available |
| Full Name | Valiant Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4255 Cedar Bluff Way Sw, Lilburn, Georgia |
| Authorized Official Name and Position | Kimberly Davis (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 9123734385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valiant Therapy Llc 4255 Cedar Bluff Way Sw Lilburn GA 30047-3185 Ph: (470) 981-6333 | Valiant Therapy Llc 4255 Cedar Bluff Way Sw Lilburn GA 30047-3185 Ph: (470) 981-6333 |
| NPI Number | 1174309488 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174309488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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