| Imago Dei Therapeutic Services, Llc | |
|
325 Hatcher Point Rd Waycross GA 31503-7959 | |
| (912) 286-3737 | |
| Not Available |
| Full Name | Imago Dei Therapeutic Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 325 Hatcher Point Rd, Waycross, Georgia |
| Authorized Official Name and Position | Melissa A Foy (OWNER) |
| Authorized Official Contact | 9122863737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imago Dei Therapeutic Services, Llc 363 Joyce Rd Waycross GA 31503-2901 Ph: (912) 286-3737 | Imago Dei Therapeutic Services, Llc 325 Hatcher Point Rd Waycross GA 31503-7959 Ph: (912) 286-3737 |
| NPI Number | 1164358289 |
|---|---|
| Provider Enumeration Date | 06/18/2026 |
| Last Update Date | 06/18/2026 |
| Certification Date | 06/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164358289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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