Healthcare Provider Details

I. General information

NPI: 1508598939
Provider Name (Legal Business Name): ALL FOR YOU THERAPY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 07/01/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 18TH ST NW UNIT 10316
ATLANTA GA
30363-1188
US

IV. Provider business mailing address

1700 NORTHSIDE DRIVE STE A7 #5824
ATLANTA GA
30318-3152
US

V. Phone/Fax

Practice location:
  • Phone: 510-467-3656
  • Fax:
Mailing address:
  • Phone: 510-467-3656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: AANISE HARRISON
Title or Position: OWNER
Credential: OTR/L
Phone: 510-467-3656