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Organization
TRANSFORMATIVE THERAPY GROUP LLC
Active
Organization
TRANSFORMATIVE THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADONNA DAVIS PHD (CEO)
(470) 377-5990
Entity
Organization
Contact information
Practice address
250 GEORGIA AVE SE STE 203, ATLANTA, GA 30312-3000
(470) 377-5990
Mailing address
1702 BOULDER WALK LN SE, ATLANTA, GA 30316-3991
(770) 789-5063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/04/2020
Last updated
03/06/2025
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