Healthcare Provider Details

I. General information

NPI: 1780590109
Provider Name (Legal Business Name): TRAUMA THERAPY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 ATLANTA HWY STE 1903
CUMMING GA
30040-1237
US

IV. Provider business mailing address

2450 ATLANTA HWY STE 1903
CUMMING GA
30040-1237
US

V. Phone/Fax

Practice location:
  • Phone: 678-758-3728
  • Fax:
Mailing address:
  • Phone: 678-758-3728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN KEMENY
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC, M DIV
Phone: 678-758-3728