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Organization
DEEPER WATERS EMDR
Active
Organization
DEEPER WATERS EMDR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CANDACE THORNTON LPC (LICENSED PROFESSIONAL COUNSELOR)
(912) 937-4708
Entity
Organization
Contact information
Practice address
9 NE PARK AVE, BAXLEY, GA 31513-0003
(912) 278-4739
Mailing address
467 PINE ST LOT 10, BAXLEY, GA 31513-7077
(912) 278-4739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
07/27/2026
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