| Family Art Therapy Center | |
|
44 Cottonwood St. Clayton GA 30525 | |
| (706) 782-0717 | |
| (706) 782-5266 |
| Full Name | Family Art Therapy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44 Cottonwood St., Clayton, Georgia |
| Authorized Official Name and Position | Carmen Rose Redd (OFFICE MANAGER) |
| Authorized Official Contact | 7067820717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Art Therapy Center 44 Cottonwood St. Clayton GA 30525 Ph: (706) 782-0717 | Family Art Therapy Center 44 Cottonwood St. Clayton GA 30525 Ph: (706) 782-0717 |
| NPI Number | 1154464006 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154464006 | NPI | - | NPPES |
| 10045587 | Other | GA | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC4008 (Georgia) | Primary |
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