MEDICARE: ACCEPTANCE AND HEALING THERAPY CENTER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1245089945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCEPTANCE AND HEALING THERAPY CENTER, LLC

Provider Business Mailing Address
First Line	:	1302 WATSON BLVD # 1107
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3436
Country	:	US
Telephone Number	:	478-284-8636
Fax Number	:

Provider Business Practice Location Address
First Line	:	1302 WATSON BLVD # 1107
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3436
Country	:	US
Telephone Number	:	773-887-0500
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAYTREONA WRIGHT
Credential	:	LCSW
Telephone Number	:	478-284-8636

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	06/09/2025

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