Healthcare Provider Details

I. General information

NPI: 1225950348
Provider Name (Legal Business Name): THERAPY LADY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 MANSELL PLACE SUITE A
ROSWELL GA
30076
US

IV. Provider business mailing address

5665 ATLANTA HWY STE 102B
ALPHARETTA GA
30004-3932
US

V. Phone/Fax

Practice location:
  • Phone: 404-781-9130
  • Fax:
Mailing address:
  • Phone: 404-781-9130
  • 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: NATASHA DEDIJER-TURNER
Title or Position: OWNER
Credential: LPC, MED, EDS, CPCS
Phone: 404-781-9130