Expressive Therapy Institute Llc | |
6015 Atlantic Blvd Ste A Norcross GA 30071-1343 | |
(770) 361-4607 | |
Not Available |
Full Name | Expressive Therapy Institute Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 6015 Atlantic Blvd Ste A, Norcross, Georgia |
Authorized Official Name and Position | Annai Lopez Tavira Cruz (CHILD & FAMILY THERAPIST) |
Authorized Official Contact | 7703614607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Expressive Therapy Institute Llc 824 Whitehaven Ln Lawrenceville GA 30043-6666 Ph: (770) 361-4607 | Expressive Therapy Institute Llc 6015 Atlantic Blvd Ste A Norcross GA 30071-1343 Ph: (770) 361-4607 |
NPI Number | 1134638992 |
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Provider Enumeration Date | 09/25/2017 |
Last Update Date | 04/03/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134638992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MFT001573 (Georgia) | Primary |
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