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NPI Code Detail

MEDICARE: CHILD & FAMILY THERAPY SOLUTIONS, INC.

MEDICARE: CHILD & FAMILY THERAPY SOLUTIONS, INC.
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
1101YP2500XProfessional CounselorLPC006472GA

General Provider Information

NPI Number : 1770820235
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILD & FAMILY THERAPY SOLUTIONS, INC.
Provider Business Mailing Address
First Line : 226 ALCOVY ST
Second Line : SUITE A-3
City : MONROE
State : GA
Zip : 30655-2183
Country : US
Telephone Number : 770-266-1919
Fax Number : 770-266-1919
Provider Business Practice Location Address
First Line : 226 ALCOVY ST
Second Line : SUITE A-3
City : MONROE
State : GA
Zip : 30655-2183
Country : US
Telephone Number : 770-266-1919
Fax Number : 770-266-1919
Authorized Official
Title or Position : OWNER
Name : MS. JANET T BRUGGEMANN
Credential : MA, LMHC, LPC
Telephone Number : 678-848-0131
Provider Enumeration Date : 01/03/2013
Last Update Date : 01/03/2013

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Directions to “CHILD & FAMILY THERAPY SOLUTIONS, INC. ” Practice Location

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