| The Soldier Therapist | |
|
1760 Lakes Pkwy Unit 4416 Lawrenceville GA 30043-6194 | |
| (678) 805-7181 | |
| Not Available |
| Full Name | The Soldier Therapist |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1760 Lakes Pkwy Unit 4416, Lawrenceville, Georgia |
| Authorized Official Name and Position | Raymond Edwin Jeanes (OWNER) |
| Authorized Official Contact | 6788057181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Soldier Therapist 1760 Lakes Pkwy Unit 4416 Lawrenceville GA 30043-6194 Ph: (678) 805-7181 | The Soldier Therapist 1760 Lakes Pkwy Unit 4416 Lawrenceville GA 30043-6194 Ph: (678) 805-7181 |
| NPI Number | 1780348458 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780348458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
Pms Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 Turning Leaf Dr, Lawrenceville, GA 30044 Phone: 770-638-0084 |
Reliance Post-op LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2488 Irwell Way, Lawrenceville, GA 30044 Phone: 678-431-6461 |
Balance Aba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Harbor Bay Dr, Lawrenceville, GA 30045 Phone: 323-867-4323 |
Gwinnett Psychology, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043 Phone: 507-722-2402 Fax: 770-962-1886 |
Clearmind Psychiatry LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043 Phone: 732-516-8021 |
Welgen One of Georgia LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5415 Sugarloaf Pkwy Ste 1108, Lawrenceville, GA 30043 Phone: 833-935-4361 |