| Kelley Therapeutic Services Llc | |
|
5400 Laurel Springs Pkwy Suite 1101 Suwanee GA 30024-6056 | |
| (678) 908-5543 | |
| Not Available |
| Full Name | Kelley Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5400 Laurel Springs Pkwy, Suwanee, Georgia |
| Authorized Official Name and Position | Lisa Kelley (PRESIDENT) |
| Authorized Official Contact | 6789085543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Therapeutic Services Llc 5400 Laurel Springs Pkwy Suite 1101 Suwanee GA 30024-6056 Ph: (678) 908-5543 | Kelley Therapeutic Services Llc 5400 Laurel Springs Pkwy Suite 1101 Suwanee GA 30024-6056 Ph: (678) 908-5543 |
| NPI Number | 1700094349 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700094349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 003314 (Georgia) | Primary |
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