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NPI Code Detail

MEDICARE: THERAPY HEALING CENTER

MEDICARE: THERAPY HEALING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1457189417
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPY HEALING CENTER
Provider Business Mailing Address
First Line : 67 PEACHTREE PARK DR NE STE 102
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1318
Country : US
Telephone Number : 404-436-2036
Fax Number :
Provider Business Practice Location Address
First Line : 67 PEACHTREE PARK DR NE STE 102
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1318
Country : US
Telephone Number : 404-436-2036
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : ERIN M RUPPEL
Credential : LPC
Telephone Number : 678-858-4308
Provider Enumeration Date : 07/22/2024
Last Update Date : 07/22/2024

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Directions to “THERAPY HEALING CENTER ” Practice Location

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