Your Path Teletherapy | |
7505 Craig Dr Fort Benning GA 31905-7905 | |
(901) 273-7284 | |
Not Available |
Full Name | Your Path Teletherapy |
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Speciality | Counselor - Professional |
Location | 7505 Craig Dr, Fort Benning, Georgia |
Authorized Official Name and Position | Anastasia Jarrett (OWNER) |
Authorized Official Contact | 9312737284 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Your Path Teletherapy 7505 Craig Dr Fort Benning GA 31905-7905 Ph: (901) 273-7284 | Your Path Teletherapy 7505 Craig Dr Fort Benning GA 31905-7905 Ph: (901) 273-7284 |
NPI Number | 1447911524 |
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Provider Enumeration Date | 01/01/2022 |
Last Update Date | 01/01/2022 |
Certification Date | 01/01/2022 |
Identifier | Type | State | Issuer |
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1447911524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |