Healthcare Provider Details

I. General information

NPI: 1619576170
Provider Name (Legal Business Name): B. PLEASANT THERAPIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2020
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 PARKWOOD WAY
JONESBORO GA
30236-1321
US

IV. Provider business mailing address

345 PARKWOOD WAY
JONESBORO GA
30236-1321
US

V. Phone/Fax

Practice location:
  • Phone: 470-896-4125
  • Fax:
Mailing address:
  • Phone: 470-896-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAMANTHA BRIANNA PLEASANT WASHINGTON
Title or Position: OWNER/CEO
Credential: OTR/L
Phone: 770-407-9034