| Her Therapeutic Breakthrough | |
|
4370 Old Mabry Ln Ne Roswell GA 30075-1927 | |
| (504) 908-4632 | |
| Not Available |
| Full Name | Her Therapeutic Breakthrough |
|---|---|
| Speciality | Social Worker |
| Location | 4370 Old Mabry Ln Ne, Roswell, Georgia |
| Authorized Official Name and Position | Antionette Dominique Washington (CEO) |
| Authorized Official Contact | 5049084332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Her Therapeutic Breakthrough 4370 Old Mabry Ln Ne Roswell GA 30075-1927 Ph: (504) 908-4632 | Her Therapeutic Breakthrough 4370 Old Mabry Ln Ne Roswell GA 30075-1927 Ph: (504) 908-4632 |
| NPI Number | 1851155725 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851155725 | NPI | - | NPPES |
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