MEDICARE: MY THERAPY DOCTOR LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103TC0700X	Clinical Psychologist
3	101Y00000X	Counselor
4	1041C0700X	Clinical Social Worker
5	106H00000X	Marriage & Family Therapist
6	261QM0855X	Adolescent and Children Mental Health Clinic/Center
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
8	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1568249845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY THERAPY DOCTOR LLC

Provider Business Mailing Address
First Line	:	100 WINDROSE TRCE
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-8313
Country	:	US
Telephone Number	:	404-840-6596
Fax Number	:	470-558-2904

Provider Business Practice Location Address
First Line	:	2009 WARM SPRINGS RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-7931
Country	:	US
Telephone Number	:	470-595-1159
Fax Number	:	470-558-2904

Authorized Official
Title or Position	:	CEO
Name	:	JOI FARLOUGH BRITTON
Credential	:
Telephone Number	:	404-840-6596

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	05/15/2025

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Directions to “MY THERAPY DOCTOR LLC ” Practice Location

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