| Care Therapeutic Services, Llc | |
|
5041 Dallas Hwy Suite 402 Powder Springs GA 30127-6458 | |
| (678) 354-5594 | |
| (678) 288-7945 |
| Full Name | Care Therapeutic Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5041 Dallas Hwy, Powder Springs, Georgia |
| Authorized Official Name and Position | Elizabeth C Waite (CO-OWNER / THERAPIST) |
| Authorized Official Contact | 4045799381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Therapeutic Services, Llc 5041 Dallas Hwy Suite 402 Powder Springs GA 30127-6458 Ph: (678) 354-5594 | Care Therapeutic Services, Llc 5041 Dallas Hwy Suite 402 Powder Springs GA 30127-6458 Ph: (678) 354-5594 |
| NPI Number | 1447559885 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 03/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447559885 | NPI | - | NPPES |
| 12214821 | Other | GA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006056 (Georgia) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFT001175 (Georgia) | Primary |
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