| The Intimacy Center Of Georgia | |
|
3400 Chapel Hill Rd Ste 317 Douglasville GA 30135-1739 | |
| (678) 750-3952 | |
| (678) 838-4595 |
| Full Name | The Intimacy Center Of Georgia |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3400 Chapel Hill Rd Ste 317, Douglasville, Georgia |
| Authorized Official Name and Position | Stephanie Walthour (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6787503952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Intimacy Center Of Georgia 3400 Chapel Hill Rd Ste 317 Douglasville GA 30135-1739 Ph: (678) 750-3952 | The Intimacy Center Of Georgia 3400 Chapel Hill Rd Ste 317 Douglasville GA 30135-1739 Ph: (678) 750-3952 |
| NPI Number | 1922580448 |
|---|---|
| Provider Enumeration Date | 08/31/2018 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922580448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT001585 (Georgia) | Primary |
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