| Therapy Pond, Llc | |
|
2939 Lone Oak Road Grantville GA 30220 | |
| (678) 653-3366 | |
| Not Available |
| Full Name | Therapy Pond, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2939 Lone Oak Road, Grantville, Georgia |
| Authorized Official Name and Position | Angie Ul Hamilton (OWNER) |
| Authorized Official Contact | 5617588268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Pond, Llc 1911 Ellis Road Hogansville GA 30230 Ph: (678) 653-3366 | Therapy Pond, Llc 2939 Lone Oak Road Grantville GA 30220 Ph: (678) 653-3366 |
| NPI Number | 1619576865 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 04/21/2025 |
| Certification Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619576865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Little Acorns Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Goldmine Rd, Grantville, GA 30220 Phone: 770-755-8461 |