institution
Family Art Therapy Center Pc
Professional Counselor in Clayton, Georgia
NPI 1609916147

Family Art Therapy Center Pc is a Professional Counselor based in Clayton, GA and is specialized in Professional. Family Art Therapy Center Pc practices in Clayton, GA. The NPI Number for Family Art Therapy Center Pc is 1609916147 and holds a License No. LPC 003219 (Georgia).

The current practice location address for Family Art Therapy Center Pc is 109 Old Livery Street, Clayton, GA and can be reached out via phone at 706-782-0717 and via fax at 706-782-5266.

Location: 109 Old Livery Street, Clayton, GA, 30525-0043
institution
Provider Profile Details
NPI Number
1609916147
Provider Name
Family Art Therapy Center Pc
Credential
Provider Entity Type
Organization
Address
109 Old Livery Street, Clayton, GA, 30525-0043
Phone Number
706-782-0717
Fax Number
706-782-5266
Provider Enumeration Date
02/07/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10045514 01 GA CMO AMERIGROUP
743776000 01 GA CMO MAGELLAN
052483465A 05 GA
institution
Provider Business Practice Location Address Details
Address
109 Old Livery Street
City
State
Zip
30525
Phone Number
706-782-0717
Fax Number
706-782-5266
person
Provider Business Mailing Address Details
Address
109 Old Livery Street
City
State
Zip
30525
Phone Number
706-782-0717
Fax Number
706-782-5266
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC 003219 (Georgia)
Definition
Definition to come...
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