| Life Therapy, Inc. | |
|
2010 Hidden Ct Albany GA 31707-1945 | |
| (678) 672-9362 | |
| Not Available |
| Full Name | Life Therapy, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2010 Hidden Ct, Albany, Georgia |
| Authorized Official Name and Position | Antoinette Dion Wilson (OWNER/LCSW) |
| Authorized Official Contact | 6786729362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Therapy, Inc. 2010 Hidden Ct Albany GA 31707-1945 Ph: (678) 672-9362 | Life Therapy, Inc. 2010 Hidden Ct Albany GA 31707-1945 Ph: (678) 672-9362 |
| NPI Number | 1457095960 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 04/21/2022 |
| Certification Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457095960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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