| Innovative Therapy Works LLC. | |
|
2959 Cherokee St Nw Kennesaw GA 30144-6521 | |
| (901) 691-5954 | |
| Not Available |
| Full Name | Innovative Therapy Works LLC. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2959 Cherokee St Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Kenya T Jones (PRACTICE MANAGER) |
| Authorized Official Contact | 9016915954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Therapy Works LLC. 29 Timberland Trace Ct Dallas GA 30157-9669 Ph: (901) 691-5954 | Innovative Therapy Works LLC. 2959 Cherokee St Nw Kennesaw GA 30144-6521 Ph: (901) 691-5954 |
| NPI Number | 1033958715 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033958715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| 251B00000X | Case Management | () | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
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